Type 2 & other diabetes

Dual action of imeglimin on insulin secretion and sensitivity in type 2 diabetes

Diabetes Obes MetabPublished Single-arm intervention study

Main finding · Change in glucose AUC0-3h during OGTTResult — go to the resultMedian change from baseline −108.63 mg·h/dL

Authors' conclusion

These results provide the first comprehensive evidence in humans that imeglimin improves insulin secretion and insulin sensitivity in multiple tissues.

Study context

Population
Japanese men with T2Dclamp in 16
Participants
22 men
Comparison
Imeglimin 2000 mg/day for 20 weeks, before vs after
  • Imegliminn = 22
Outcome
Change from baseline in glucose AUC0-3h during the OGTT
Follow-up
20 weeks
Methodological detailsdouble tracers, two-step hyperinsulinemic-euglycemic clamp
  • Double tracers
  • Two-step hyperinsulinemic-euglycemic clamp

Main finding

Change in glucose AUC0-3h during OGTT

Median change from baseline

−108.63 mg·h/dL

P = 0.0002

Change by group

Imeglimin

−108.63

median change · IQR −148.25–-40.75 · mg·h/dL

As reported in the abstract

Further findings

Glucose AUC0-3h during oral glucose tolerance test (OGTT) · 1 week

A similar reduction was already evident at 1 week
Reductions mainly attributable to a decreased rate of oral glucose appearance

Insulin secretion indices · 1 and 20 weeks

Insulin secretion indices increased

Clamp: tissue-specific insulin sensitivity and insulin clearance · 20 weeks

Improved insulin sensitivity in skeletal muscle, liver and adipose tissue, and increased insulin clearance
  • 16 participants

Original publication

Dual action of imeglimin on insulin secretion and sensitivity in type 2 diabetes. Diabetes Obes Metab. Published 5 January 2026. doi:10.1111/dom.70449

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