Type 2 & other diabetes

Glucose Load Following Prolonged Fasting Increases Oxidative Stress– Linked Response in Individuals With Diabetic Complications

Diabetes CarePublished Mechanistic study

Authors' conclusion

These findings suggest increased susceptibility to glucose-induced oxidative stress in individuals with diabetes complications after prolonged fasting and might help in diet interventions for diabetes management.

Study context

Population
Glucose-tolerant individuals and individuals with T2D with or without diabetes complications undergoing OGTT before and after a 5-day fasting-mimicking diet
Participants
10 / 10 / 10
Comparison
T2D with complications vs T2D without complications vs glucose-tolerant controls
  • T2D+n = 10
  • T2D-n = 10
  • CONn = 10reference
Outcome
Change in PBMC resistance against ex vivo methylglyoxal (MG)
Follow-up
Postglucose load and fasting
Methodological detailsex vivo peripheral blood mononuclear cell (PBMC) methylglyoxal exposure, OGTT before and after 5-day fasting-mimicking diet
  • Ex vivo PBMC methylglyoxal exposure
  • OGTT before and after 5-day fasting-mimicking diet

Main finding

As reported in the abstract

T2D+

−19.0%

T2D-

−1.7%

CON

12.6%

All P = 0.017

Further findings

OutcomeP value
Mitochondrial biogenesis (mRNA HspA9), T2D- vs CON · postglucose load and fastingIncreased in T2D-P = 0.032
Antioxidant defenses postfasting (not postglucose load)T2D- vs CON · mRNA forkhead box O4 increased in T2D-P = 0.036
Antioxidant defenses postfasting (not postglucose load)T2D- vs CON · glutathione-peroxidase-2 increased in T2D-P = 0.034
Antioxidant defenses postfasting (not postglucose load)T2D- vs T2D+ · glutathione-peroxidase-2 increased in T2D-P = 0.04

Dicarbonyl detoxification, oxidative stress and mitochondrial complex V expression, T2D+ vs T2D- and CON · postglucose load and fasting

Increased mRNA glyoxalase-1 in T2D+
all P = 0.039
Increased mRNA glutathione-disulfide-reductase in T2D+
all P = 0.006
Increased mitochondrial complex V protein in T2D+
all P = 0.004

Mitochondrial number (citrate synthase activity)

Citrate synthase activity remained unchanged

Original publication

Glucose Load Following Prolonged Fasting Increases Oxidative Stress– Linked Response in Individuals With Diabetic Complications. Diabetes Care. Published 21 June 2024. doi:10.2337/dc24-0209

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