Type 2 & other diabetes

Postprandial Glucagon Action in the Human Brain

Diabetes Obes MetabPublished Mechanistic study

Authors' conclusion

Our findings demonstrate postprandial effects of glucagon in metabolically relevant human brain areas.

Study context

Population
Volunteers undergoing oral glucose tolerance tests (OGTT) with functional MRI at fasting, 30 and 120 min post glucose load
Participants
30 volunteers
Comparison
Low-dose glucagon infusion during OGTT in participants with suppressed glucagon vs participants with endogenous rising glucagon
  • Glucagon infusionn = 14
  • Endogenous rising glucagonn = 7reference
Outcome
Postprandial brain responsivity
Methodological detailsOGTT combined with functional MRI, low-dose glucagon infusion
  • OGTT combined with functional MRI
  • Low-dose glucagon infusion

Main finding

As reported in the abstract

  • Experimentally elevating glucagon during OGTT in individuals with physiological glucagon suppression significantly increased postprandial brain responsivity in the hippocampal gyrus, hypothalamus and ventral striatum
  • Most postprandial brain responsiveness during glucagon infusion was directionally consistent with findings in persons with endogenously rising glucagon
  • Postprandial brain response correlated with the rise in glucagon, regardless of exogenous or endogenous source

Further findings

Plasma glucose, insulin sensitivity and insulin secretion during OGTT

Low-dose glucagon infusion did not elevate plasma glucose; no changes in insulin sensitivity and insulin secretion

Glucagon trajectory during OGTT · 0-150 min

Overall glucagon trajectory not significantly different over 0-150 min; groups differed at key post-challenge timepoints and in integrated glucagon exposure

Original publication

Postprandial Glucagon Action in the Human Brain. Diabetes Obes Metab. Published 22 April 2026. doi:10.1111/dom.70801

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