Table 3.
Intervention | PLA+NaCl | PLA+GIP | PLA+GLP-1 | SU+NaCl | SU+GIP | SU+GLP-1 | Interaction P value |
---|---|---|---|---|---|---|---|
Plasma glucose | |||||||
HNF1A mutation carriers | |||||||
Baseline (mmol/L) | 8.6 ± 1.1 | 8.9 ± 1.0 | 8.6 ± 1.0 | 8.9 ± 1.0 | 8.9 ± 1.1 | 8.7 ± 1.1 | |
AUC0–120 min (mol/L × min) | 1.28 ± 0.15 | 1.33 ± 0.15 | 1.28 ± 0.15 | 1.34 ± 0.16 | 1.31 ± 0.16 | 1.28 ± 0.16 | |
PG/FPG AUC0–120 (min−1) | 150 ± 1 | 149 ± 1 | 149 ± 1 | 149 ± 1 | 147 ± 1 | 147 ± 1 | |
Control subjects without diabetes | |||||||
Baseline (mmol/L) | 4.8 ±0.1 | 5.0 ± 0.1 | 4.9 ± 0.1 | 5.0 ± 0.1 | 5.0 ± 0.1 | 5.0 ± 0.1 | |
AUC0–120 min (mol/L × min) | 0.72 ± 0.02 | 0.75 ± 0.02 | 0.73 ± 0.02 | 0.75 ± 0.02 | 0.73 ± 0.01 | 0.74 ± 0.01 | |
PG/FPG AUC0–120 min (min) | 149 ± 1 | 149 ± 1 | 149 ± 1 | 150 ± 1 | 148 ± 1 | 148 ± 1 | |
Glucose infused | |||||||
HNF1A mutation carriers | |||||||
Time 0–60 min (g) | 3.6 ± 1.0 | 5.7 ± 1.4 | 6.2 ± 1.0 | 6.5 ± 1.3 | 9.7 ± 1.8* | 9.3 ± 1.5* | 0.6745 |
Time 60–120 min (g) | 14 ± 1.0 | 16 ± 2.0 | 18 ± 1.6 | 19 ± 1.3 | 28 ± 2.7*†‡§ | 24 ± 2.2*‡§ | 0.0144 |
Time 0–120 min (g) | 18 ± 1.7 | 22 ± 3.2 | 24 ± 2.3 | 26 ± 2.1 | 37 ± 4.2*†‡§ | 33 ± 3.3*‡§ | 0.0472 |
Control subjects without diabetes | |||||||
Time 0–60 min (g) | 0.8 ± 0.6 | 4.6 ± 0.9* | 4.9 ± 0.8* | 3.7 ± 0.9 | 6.1 ± 1.3* | 9.3 ± 1.2*†‡§‖ | 0.1237 |
Time 60–120 min (g) | 9.7 ± 1.9 | 20 ± 3.6 | 20 ± 4.4 | 17 ± 2.6 | 30 ± 5.3*† | 39 ± 5.8*†‡§ | 0.0180 |
Time 0–120 min (g) | 11 ± 2.3 | 25 ± 4.3 | 25 ± 5.0 | 21 ± 3.2 | 36 ± 6.3*† | 48 ± 6.7*†‡§ | 0.0205 |
C-peptide | |||||||
HNF1A mutation carriers | |||||||
Baseline (pmol/L) | 302 ± 14 | 299 ± 21 | 314 ± 23 | 299 ± 24 | 314 ± 18 | 310 ± 19 | |
bsAUC0–60 min (nmol/L × min) | 0.7 ± 0.9 | 7.5 ± 1.7 | 5.8 ± 1.4 | 8.0 ± 2.4 | 19 ± 3.8*†‡§ | 18 ± 3.4*†‡§ | 0.1617 |
bsAUC60–120 min (nmol/L × min) | 9.6 ± 1.6 | 20 ± 3.3 | 26 ± 3.1* | 21 ± 4.3 | 45 ± 6.5*†‡ | 46 ± 5.6*†‡§ | 0.0190 |
bsAUC0–120 min (nmol/L × min) | 10 ± 2.1 | 28 ± 4.7* | 32 ± 4.0* | 29 ± 6.5 | 64 ± 10*†‡§ | 63 ± 8.6*†‡§ | 0.0294 |
Control subjects without diabetes | |||||||
Baseline (pmol/L) | 358 ± 42 | 415 ± 35 | 370 ± 27 | 394 ± 50 | 372 ± 34 | 426 ± 39 | |
bsAUC0–60 min (nmol/L × min) | −2.7 ± 2.4 | 5.5 ± 2.2 | 5.1 ± 2.4 | 3.9 ± 1.8 | 12 ± 2.9* | 24 ± 3.9*†‡§‖ | 0.0233 |
bsAUC60–120 min (nmol/L × min) | 17 ± 5.8 | 48 ± 6.7 | 60 ± 11* | 40 ± 7.7 | 80 ± 14*† | 131 ± 17*†‡§‖ | 0.0097 |
bsAUC0–120 min (nmol/L × min) | 14 ± 7.8 | 53 ± 8.2 | 65 ± 13 | 43 ± 8.9 | 93 ± 16*† | 156 ± 20*†‡§‖ | 0.0078 |
C-peptide/glucose | |||||||
HNF1A mutation carriers | |||||||
Baseline (pmol/L) | 41 ± 6.4 | 40 ± 7.3 | 42 ± 6.3 | 36 ± 5.1 | 39 ± 6.1 | 42 ± 6.5 | |
bsAUC0–60 min (nmol/L × min) | −0.0 ± 0.12 | 0.8 ± 0.2* | 0.7 ± 0.2* | 0.9 ± 0.3 | 2.5 ± 0.4*†‡§ | 2.2 ± 0.4*†‡§ | 0.0398 |
bsAUC60–120 min (nmol/L × min) | 0.1 ± 0.1 | 1.0 ± 0.3 | 1.6 ± 0.3* | 1.0 ± 0.3 | 3.1 ± 0.5*†‡ | 3.3 ± 0.5*†‡§ | 0.0042 |
bsAUC0–120 min (nmol/L × min) | 0.1 ± 0.2 | 1.8 ± 0.4* | 2.3 ± 0.5* | 2.0 ± 0.5 | 5.6 ± 0.9*†‡§ | 5.5 ± 0.8*†‡§ | 0.0077 |
Control subjects without diabetes | |||||||
Baseline (pmol/L) | 75 ± 9.2 | 83 ± 6.8 | 75 ± 5.9 | 78 ± 8.5 | 75 ± 7.3 | 75 ± 7.0 | |
bsAUC0–60 min (nmol/L × min) | −0.7 ± 0.52 | 1.2 ± 0.5 | 1.1 ± 0.5 | 0.8 ± 0.4 | 2.6 ± 0.6* | 5.0 ± 0.9*†‡§‖ | 0.0260 |
bsAUC60–120 min (nmol/L × min) | 0.8 ± 0.9 | 4.7 ± 0.9 | 6.6 ± 1.6 | 3.5 ± 1.0 | 9.3 ± 1.9*† | 16 ± 2.4*†‡§‖ | 0.0166 |
bsAUC0–120 min (nmol/L × min) | 0.2 ± 0.1 | 5.8 ± 1.3 | 7.7 ± 2.1 | 4.4 ± 1.3 | 12 ± 2.4*† | 21 ± 3.2*†‡§‖ | 0.0148 |
Glucagon | |||||||
HNF1A mutation carriers | |||||||
Baseline (pmol/L) | 13 ± 1 | 12 ± 1 | 11 ± 1 | 11 ± 2 | 13 ± 1 | 12 ± 2 | |
bsAUC0–60 min (pmol/L × min) | −306 ± 59 | −182 ± 59 | −381 ± 59 | −186 ± 59 | −152 ± 59 | −255 ± 59 | 0.5167 |
bsAUC60–120 min (pmol/L × min) | −463 ± 57 | −435 ± 57 | −488 ± 57 | −351 ± 60 | −353 ± 57 | −420 ± 57 | 0.9094 |
bsAUC0–120 min (pmol/L × min) | −770 ± 106 | −618 ± 106 | −869 ± 106 | −560 ± 111 | −505 ± 106 | −675 ± 106 | 0.8320 |
Control subjects without diabetes | |||||||
Baseline (pmol/L) | 8 ± 2 | 9 ± 2 | 9 ± 2 | 10 ± 2 | 8 ± 2 | 13 ± 2 | |
bsAUC0–60 min (nmol/L × min) | −93 ± 76 | −163 ± 76 | −248 ± 76 | −148 ± 76 | −52.7 ± 76 | −321 ± 81 | 0.2472 |
bsAUC60–120 min (nmol/L × min) | −325 ± 100 | −388 ± 100 | −408 ± 100 | −374 ± 100 | −274 ± 100 | −538 ± 105 | 0.2707 |
bsAUC0–120 min (nmol/L × min) | −419 ± 171 | −605 ± 177 | −655 ± 171 | −523 ± 171 | −325 ± 171 | −857 ± 179 | 0.1979 |
Data are mean ± SEM. A significant interaction describes a supra-additive of combining SU+GIP and/or SU+GLP-1.
FPG, fasting plasma glucose; PG, plasma glucose; PLA, placebo.
Symbols show significant differences (P < 0.05) between interventions:
significantly greater than PLA+NaCl;
significantly greater SU+NaCl;
significantly greater than PLA+GIP;
significantly greater than PLA+GLP-1;
significantly greater than SU+GIP.