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. 2024 Apr 1;13(5):e230285. doi: 10.1530/EC-23-0285

Table 8.

Summary table of studies of glucagon or glucagon analogues in PBH.

Study Population Intervention Comparator Outcome
Halperin, 2010 (113) Symptomatic RYGB, n = 1 Glucagon IV infusion in cross-over study Vehicle During MMT, glucagon eliminated the post-prandial hypoglycaemia evident with vehicle infusion.
Mulla, 2020 (112) Symptomatic RYGB, n = 12 Automated glucagon SC boluses of 150 and 300 µg in cross-over study Vehicle During MMT, the algorithm predicted hypoglycaemia and administered glucagon boluses, obviating the need for rescue glucose treatment, and increasing nadir post-prandial plasma glucose in comparison to vehicle.
Nielsen, 2022 (114) RYGB with hypoglycaemia on CGM, n = 10 Single dose of 80 µg or 200 µg dasiglucagon in three-way cross-over trial Placebo Increased nadir glucose and reduced time in hypoglycaemia <3.9 mmol/L during MMT compared to placebo, for both doses of dasiglucagon.

CGM, continuous glucose monitoring; IV, intravenous; MMT, mixed meal test; RYGB, Roux-en-Y gastric bypass; SC, subcutaneous.