Type 2 & other diabetes

Oxytocin does not acutely improve glucose tolerance in men with type 2 diabetes

Diabetes Obes MetabPublished Randomised crossover trial

Authors' conclusion

This outcome contrasts with the oxytocin-induced attenuation of early postprandial glucose excursions in normal-weight individuals, but is in line with the absence of respective effects in men with obesity. We conclude that insulin resistance in type 2 diabetes is associated with decreased sensitivity to the acute glucoregulatory effect of oxytocin in male individuals.

Study context

Population
Fasted men with non-insulin-treated T2D; age 63.40 ± 1.36 years, BMI 27.77 ± 0.66 kg/m², HbA1c 6.86% ± 0.08%, Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) 3.44 ± 0.39 (mean ± SE)crossover
Participants
25 men
Comparison
Intranasal oxytocin vs placebo before OGTT
Primary endpoint
Acute glucoregulatory impact: glucose metabolism after OGTT (AUC glucose, insulin, C-peptide)
Follow-up
3 hours after OGTT onset
Methodological detailsdouble-blind, Key outcomes compared with previous results in men with normal weight or obesity
  • Double-blind
  • Key outcomes compared with previous results in men with normal weight or obesity

Primary result

As reported in the abstract

AUC glucose

Further findings

AUC insulin · 3 hours after OGTT onset

AUC C-peptide · 3 hours after OGTT onset

Plasma oxytocin and heart rate

Oxytocin vs placebo increased plasma oxytocin concentrations and reduced heart rate

Original publication

Oxytocin does not acutely improve glucose tolerance in men with type 2 diabetes. Diabetes Obes Metab. Published 8 August 2024. doi:10.1111/dom.15812

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