Obesity

Sumatriptan, a serotonin 5HT 1B receptor agonist, acutely reduces insulin secretion and sensitivity and glucose effectiveness in overweight humans: A double‐blinded placebo‐controlled cross‐over trial

Diabetes Obes MetabPublished Randomised controlled trial

Authors' conclusion

5HT1B receptors have a glucoregulatory role in humans, probably acting on insulin secretion, insulin sensitivity and glucose effectiveness.

Study context

Population
Overweight adults, otherwise healthycross-over
Participants
10 adults
Comparison
Sumatriptan vs placebo
Methodological detailscross-over, double-blinded, placebo-controlled, two-visit random-order, 60-min IV glucose tolerance test followed by 120-min hyperinsulinaemic euglycaemic clamp
  • Cross-over
  • Double-blinded
  • Placebo-controlled
  • Two-visit random-order
  • 60-min IV glucose tolerance test followed by 120-min hyperinsulinaemic euglycaemic clamp

Primary result

As reported in the abstract

Glucose excursion during IV glucose tolerance test (iAUC0-60 min)

P = 0.047

Further findings

Circulating insulin (iAUC0-10 min) · reduced with sumatriptan

P = 0.005

Insulin sensitivity (M/I-value) · reduced with sumatriptan

P = 0.010

Glucose effectiveness (SG) · reduced with sumatriptan

P = 0.027

Original publication

Sumatriptan, a serotonin 5HT 1B receptor agonist, acutely reduces insulin secretion and sensitivity and glucose effectiveness in overweight humans: A double‐blinded placebo‐controlled cross‐over trial. Diabetes Obes Metab. Published 13 June 2023. doi:10.1111/dom.15176

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