Type 1 diabetes

Altered Glucagon Response to Oral Glucose in Individuals at Different Stages of Type 1 Diabetes Development

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

These findings highlight the need for prospective studies to further elucidate the role of α cells in disease progression and support testing pharmacotherapies aimed at improving both α- and β-cell functions during disease development.

Study context

Population
Participants aged 4 to 25 years from the Finnish Diabetes Prediction and Prevention (DIPP) study
Participants
47 participants
Exposure
Glucagon response to oral glucose tolerance test (OGTT) across stages of T1D development
Outcome
Glucagon concentrations during a 6-point OGTT (conventional radioimmunoassay)

Main finding

As reported in the abstract

Glucagon during OGTT
  • Fasting plasma glucagon levels increased with disease progression
  • Longitudinal patterns of glucagon concentrations during the OGTT differed significantly between groups
  • Paradoxical 15-minute glucagon increase observed only in individuals at early stage 3 of T1D

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Altered Glucagon Response to Oral Glucose in Individuals at Different Stages of Type 1 Diabetes Development. J Clin Endocrinol Metab. Published 31 October 2025. doi:10.1210/clinem/dgaf601

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