Obesity

Impaired plasma glucose clearance is a key determinant of fasting hyperglycemia in people with obesity

Obesity (Silver Spring)Published Mechanistic study

Authors' conclusion

Fasting hyperglycemia in people with obesity represents a disruption of the precisely regulated integration of glucose production and clearance rates.

Study context

Population
Lean people and people with obesity with different fasting glycaemic statuses206 with obesity
Participants
33 / 118 / 66 / 22
Comparison
Lean normoglycaemic vs obese with normal, impaired or diabetic fasting glucose
  • Lean < 100n = 33reference
  • Ob < 100n = 118
  • Ob 100-125n = 66
  • Ob ≥ 126n = 22
Outcome
Relative importance of basal glucose Ra and basal plasma glucose clearance in determining fasting plasma glucose

Main finding

As reported in the abstract

Basal glucose kinetics
  • Large (up to three-fold) range in glucose Ra within each group; small glucose ranges in Lean < 100, Ob < 100 and Ob 100-125 due to close relationship between glucose Ra and clearance rate
  • Glucose clearance rate at any Ra value lower in hyperglycaemic than normoglycaemic groups
  • In Ob ≥ 126, plasma glucose primarily determined by glucose Ra, as glucose clearance markedly attenuated

Original publication

Impaired plasma glucose clearance is a key determinant of fasting hyperglycemia in people with obesity. Obesity (Silver Spring). Published 16 January 2024. doi:10.1002/oby.23963

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.