Type 2 & other diabetes

The Association of Cardiometabolic, Diet and Lifestyle Parameters With Plasma Glucagon-like Peptide-1: An Innovative Medicines Initiative (IMI) DIRECT Study

J Clin Endocrinol MetabPublished Cross-sectional study

An erratum to this article was published (J Clin Endocrinol Metab, 13 Aug 2024 ↗)

Authors' conclusion

These studies provide novel insights into the association between fasting and incremental GLP-1, metabolic traits of diabetes and obesity, and dietary intake, and raise intriguing questions regarding the relevance of fasting GLP-1 in the pathophysiology T2D.

Study context

Population
People at risk of, or living with, T2D; two IMI DIRECT cohorts
Participants
2,127 vs 789
Exposure
Cohort 1 vs Cohort 2
  • Cohort 1n = 2,127
  • Cohort 2n = 789
Outcome
Fasting and postprandial (incremental) GLP-1
Methodological detailsmultiple regression analysis
  • Multiple regression analysis

Main finding

As reported in the abstract

  • Fasting total GLP-1 associated with an insulin-resistant phenotype; strong independent relationship with male sex, increased adiposity and liver fat, particularly in the prediabetes population
  • Incremental GLP-1 decreases with worsening glycemia, higher adiposity, liver fat, male sex and reduced insulin sensitivity in the prediabetes cohort
  • Higher fasting total GLP-1 associated with low intake of wholegrain, fruit and vegetables in prediabetes, and with high intake of red meat and alcohol in diabetes

Observational data: associations, not effects.

Original publication

The Association of Cardiometabolic, Diet and Lifestyle Parameters With Plasma Glucagon-like Peptide-1: An IMI DIRECT Study. J Clin Endocrinol Metab. Published 30 April 2024. doi:10.1210/clinem/dgae119

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

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