Glucagon and beta-cell function changes before and after dietary weight loss-induced metabolic improvements in type 2 diabetes
Authors' conclusion
Weight loss > 10% improved insulin sensitivity and beta-cell function relative to baseline and normalized glucagon in participants with initial hyperglucagonemia.
Study context
- Population
- Patients with T2D treated without insulin achieving >10 kg weight loss on a 12-week VLCDachieved >10 kg weight loss
- Participants
- 35 patients
- Exposure
- Before vs after 12-week VLCD
- Outcome
- Changes after VLCD-induced weight loss vs baseline
- Follow-up
- 12 weeks
Methodological detailssingle-group, before-after
- Single-group
- Before-after
Main finding
As reported in the abstract
- Beta-cell glucose sensitivity improved
- p = 0.001
- Insulin clearance improved
- p < 0.001
Observational data: associations, not effects.
Further findings
Fasting glucagon by baseline glucagon (above vs below median)
- Fasting glucagon decreased significantly only in participants above median glucagon level
- P = 0.001
- Changes in insulin sensitivity and beta-cell glucose sensitivity did not differ between groups
- Postprandial insulin secretion decreased and potentiation factor increased only in the higher glucagon group
Determinants of fasting hyperglucagonemia
- Fasting hyperglucagonemia was associated with male sex
Original publication
Glucagon and beta-cell function changes before and after dietary weight loss-induced metabolic improvements in type 2 diabetes. Diabetes Res Clin Pract. Published 24 June 2026. doi:10. 1016/ j. diabres. 2026. 113382
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