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. 2024 Jan 11;119(3):599–627. doi: 10.1016/j.ajcnut.2024.01.007

TABLE 1.

Glucose-stimulated GLP-1 response (OGTT)

Author, (y), n GLP-1 assay Participant characteristics GLP-1 values (pmol/L) at time points (min)
TTP (min) Δ Peak (pmol/L) GLP-1 AUC/iAUC Results
0 10 15 20 30 40 45 60 90 120 180
Theodorakis et al. 2006 [42] n = 53 RIALinco1 NGT (n = 36, BMI: 27 kg/m2) 6 15 21 22 21 16 11 20 16 120 min:
AUC: 1874 (pmol/L∗min) #
↑ fasting values and AUC in T2DM compared with NGT
T2DM (n = 17, BMI: 30 kg/m2) 12 19 28 31 33 32 12 40 21 120 min:
AUC: 2866 (pmol/L∗min) #
Muscelli et al. 2008 [45] n = 51 RIA2 NGT (n = 24, BMI: 33.1 kg/m2)# 11 18 27 28 25 25 22 23 23 30 17 180 min:
AUC: 4100 (pmol/L∗h) #
- ↓ GLP-1 response in T2DM compared with IGT and NGT
- no significant differences between NGT and IGT
- inverse relationship between GLP-1 response and BMI
IGT (n = 17, BMI: 35.9 kg/m2)# 10 13 23 26 27 20 19 19 18 40 17 180 min:
AUC: 3400 (pmol/L∗h)#
T2DM (n = 10, BMI: 35.5 kg/m2)# 7 10 13 12 13 11 12 12 9 20 40 6 180 min:
AUC: 2000 (pmol/L∗h)#
Vollmer et al.
2008 [49] n = 48
RIA2 NGT (n = 14, BMI: 27.5 kg/m2) 14 32 31 30 30 18 30 18 n.a. - ↔
- positive relation between GLP-1 and age; negative association between GLP-1 concentrations and BMI
- GLP-1 concentrations higher in females than in males
IGT (n = 17, BMI: 29.5 kg/m2) 15 41 38 37 38 25 30 26
T2DM (n = 17, BMI: 32.1 kg/m2) 16 35 33 39 28 23 90 23
Greenfield et al. 2009 [48] n = 24 RIA2 NW (n = 8, BMI: 22 kg/m2) 14 30 32 27 27 27 24 30 18 120 min:
AUC: 3192 iAUC: 1242 (pmol/L∗120 min)#
↓ fasting values and AUC in T2DM/ IGT compared with NW/ OW
↔ iAUC
OW (n = 8, BMI: 34.5 kg/m2) 13 22 24 22 23 21 18 30 11 120 min:
AUC: 2550 iAUC:1082 (pmol/L∗ 120 min)#
T2DM/IGT (n = 8, BMI: 38.5 kg/m2) 9 15 18 20 17 15 14 45 11 120 min:
AUC: 1846 iAUC: 746 (pmol/L∗ 120 min)#
Bagger et al.
2011 [53] n = 16
RIA2 OW (n = 8, BMI: 29 kg/m2) 17 25 44 69 50 39 30 17 30 52 AUC: 7200# ↔ fasting/ peak values, AUC
T2DM (n = 8, BMI: 29 kg/m2) 20 30 51 47 48 38 31 17 20 31 AUC: 6900# (4h∗ pmol/L)
Alssema et al. 2013 [44] n = 203 RIA2 NGT (n = 163, BMI: 26.7 kg/m2) 11 18 23 17 16 14 30 12 AUC: 18 iAUC: 7.3 (pmol/L per hour) ↑ fasting values and AUC per hour in T2DM compared with NGT
IGT (n = 20, BMI: 28.5 kg/m2) 14 21 28 23 21 16 30 14 AUC: 21 iAUC: 6.7 (pmol/L per hour)
T2DM (n = 20, 33.1 kg/m2) 17 29 37 26 23 16 30 20 AUC: 23 iAUC: 6.5 (pmol/L per hour)
Yabe et al.
2015 [47] n = 102
RIA2 NGT (n = 54, BMI: 21.3 kg/m2) 9 17 19 19 17 16 20 30 10 120 min:
AUC: 2004 (pmol/L∗min)
IGT (n = 20, BMI: 22.5 kg/m2) 8 12 16 17 15 14 30 9 120 min:
AUC: 1701 (pmol/L∗min)
T2DM (n = 28, BMI: 23.5 kg/m2) 10 17 18 18 18 14 20 30 40 8 120 min:
AUC: 1923 (pmol/L∗min)
Færch et al.
2015 [39] n = 1462
RIA2 NGT (n = 774, BMI: 26.0 kg/m2)# F 9 31 23 30 22 120 min:
AUC: 3124 (pmol/L∗min)#
- ↓GLP-1 response in IFG and T2DM (- up to25%) compared with NGT (females)
- ↓120-min concentrations in IFG and T2DM (-16-21%) compared with NGT
- ↓ GLP-1 response in persons with obesity (-20%) and OW (up to -8%) compared with NW participants
M 10 26 18 30 16 120 min:
AUC: 2612 (pmol/L∗min)#
IGT (n = 525), 3 subgroups#
i-IFG (BMI: 27.7 kg/m2) F 11 29 22 30 18 120 min:
AUC: 3029 (pmol/L∗min)#
M 10 25 17 30 15 120 min:
AUC: 2479 (pmol/L∗min)#
i-IGT (BMI: 27.4 kg/m2) F 11 31 22 30 20 120 min:
AUC: 3131 (pmol/L∗min)#
M 11 28 18 30 17 120 min:
AUC: 2680 (pmol/L∗min)#
IFG&IGT (BMI: 28.8 kg/m2) F 10 26 18 30 16 120 min:
AUC: 2591 (pmol/L∗min)#
M 10 25 16 30 15 120 min:
AUC: 2466 (pmol/L∗min)#
T2DM (n = 163, BMI: 29.7 kg/m2)# F 9 30 18 30 21 120 min:
AUC: 2849 (pmol/L∗min)#
M 11 27 16 30 16 120 min:
AUC: 2582 (pmol/L∗min)#
Simon et al.
2015 [43] n = 21
RIA2 NW-NGT (n = 11, BMI: 23.6 kg/m2)# 6 14 17 21 22 21 22 14 60 16 n.a. ↓ GLP-1 response in OW-NGT compared with NW-NGT
OW-NGT (n = 10, BMI: 35.5 kg/m2)# 7 13 18 15 15 14 12 8 20 11
Wang et al.
2016 [46] n = 80 (Han Chinese adults)
ELISA (Westang)3 NGT (n = 23, BMI: 25.6 kg/m2) 19 65 54 48 37 30 46 180 min:
AUC: 192 (pmol/L∗min)
- ↓ fasting values in T2DM compared with NGT
- ↓ peak values and AUC in T2DM compared with NGT/ IGT
- no significant differences between NGT/ IGT
IGT (n = 22, BMI: 26.0 kg/m2) 16 60 50 45 21 30 44 180 min:
AUC: 182 (pmol/L∗min)
T2DM (n = 35, BMI: 26.5 kg/m2) 15 42 38 35 26 30 27 180 min:
AUC: 129 (pmol/L∗min)
Chia et al.
2017 [52] n = 40
ELISA (Alpco)4 NW (n = 20, BMI: 23.6 kg/m2) 3 14 11 10 9 20 11 120 min:
AUC: 1150 (pmol/L∗min)#
↓ AUC in OW
OW (n = 20, BMI: 35.6 kg/m2) 4 11 10 7 5 20 7 120 min:
AUC: 831 (pmol/L∗min)#
Dybjer et al. 2020 [51] n = 3001 RIALinco1 NGT (n = 2453, BMI: 26.3 kg/m2)# 8 18 120 10 n.a. - ↑ fasting levels in DM compared with NGT
- ↓ postprandial levels in DM compared with NGT
DM (n = 548, BMI: 28.7 kg/m2)# 9 16 120 7
Chong et al.
2022 [50] n = 174
ELISA (Millipore)5 NGT (n = 58, BMI: 24 kg/m2)# 16 31 24 30 15 120 min:
AUC: 3266 (pmol/L∗min)#
- ↑ levels at fasting, after 30 min and AUC in T2DM compared with IGT and NGT
- ↑ levels at fasting, after 30 min and AUC in IGT compared with NGT
IGT (n = 54, BMI: 26.2 kg/m2)# 22 41 25 30 19 120 min:
AUC: 3994 (pmol/L∗min)#
T2DM (n = 62, BMI: 26.7 kg/m2)# 27 50 28 30 23 120 min:
AUC: 4698 (pmol/L∗min)#

GLP-1 concentrations for selected time points of blood sampling, time-to-peak as well as peak (peak concentration – fasting concentration), and—if available—AUC or iAUC values are listed. Under “results,” only significant results are listed. Time point 0 describes fasting concentrations, and time points >0 are reporting postprandial concentrations.

#original data, ↑ higher GLP-1 secretion in comparison to referred groups, ↓ lower GLP-1 secretion in comparison to referred groups, ↔ no differences of GLP-1 secretion between groups. Supplemental Table 2 shows GLP-1 values for all measured time points. Details on GLP-1 assays as stated in the publications or according to manufacturer instructions:

Abbreviations: AUC, the area under the curve; CV, coefficient of variation; DM, diabetes mellitus; F, female; GLP-1, glucagon-like peptide 1; IFG, impaired fasting glucose; i-IFG, isolated impaired fasting glucose; IGT, impaired glucose tolerance; i-IGT, isolated impaired glucose tolerance; LOD, limit of detection; M, male; n.a., not available; NGT, normal glucose tolerance; NW, normal weight; OGTT, oral glucose tolerance test; OW, overweight; RIA, radioimmunoassay; TTP, time-to-peak; T2DM, type 2 diabetes mellitus.

1

RIALinco (Linco Research), polyclonal antiserum no. 89390, LOD: 3 pM, intra-assay CV: 5%, inter-assay CV: 17%, specificity: 100% for GLP-1 (7–36) and GLP-1 (9–36);

2

RIA: standardized assay (41), polyclonal antiserum no. 89390, LOD: 1 pM, intra-assay CV: 6%, specificity: 100% for GLP-1 (7–36) 89% for GLP-1 (9–36);

3

ELISA (Westang Biological Technology), sensitivity: <0.1 pM, intra- and inter-assay CV: <10.3%;

4

ELISA (Alpco Diagnostics), intra-assay CV: 3.7%–4.7%, inter-assay CV: 6.2–9.5%;

5

ELISA (EMD Millipore), LOD: 1.5 pM, intra-assay CV: <2% inter-assay CV: <12%.