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. 2020 Jun 9;69(9):1989–2002. doi: 10.2337/db20-0074

Table 3.

Glucose, C-peptide, C-peptide/glucose, and glucagon

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.