Acute Effects of Sleeve Gastrectomy on Glucose Variability, Glucose Metabolism, and Ghrelin Response
Purpose This study aims to examine the changes of glucose metabolism, glucose variability (GV), and ghrelin secretion within 1 week following SG in Chinese patients with obesity. Materials and Methods Forty-nine patients with obesity (15 with type 2 diabetes) were enrolled to undergo SG. Within 1 we...
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| Published in | Obesity surgery Vol. 31; no. 9; pp. 4005 - 4014 |
|---|---|
| Main Authors | , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York
Springer US
01.09.2021
Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Purpose
This study aims to examine the changes of glucose metabolism, glucose variability (GV), and ghrelin secretion within 1 week following SG in Chinese patients with obesity.
Materials and Methods
Forty-nine patients with obesity (15 with type 2 diabetes) were enrolled to undergo SG. Within 1 week before and after surgery, liquid meal tests were performed in all subjects, and continuous glucose monitoring (CGM) was performed in diabetic patients. Blood samples were collected at 0, 15, 30, 45, 60, 120, and 180 min for glucose, C-peptide, insulin, and ghrelin analysis in liquid meal test. Mean amplitude of glucose excursions (MAGE), standard deviations (SD), and percent time-in-range (%TIR) determined by CGM were analyzed.
Results
Both in diabetic and non-diabetic groups, significant decrease was observed in glucose, insulin, C-peptide, and ghrelin. Homeostasis model assessment-insulin resistance and liver fat content was decreased. In diabetic group, MAGE and SD were decreased significantly, and the percent time-in-range was higher. The decrease in blood glucose was positively correlated with the decrease in ghrelin concentration in non-diabetic group.
Conclusion
Within 1 week after SG, both glucose metabolism and glucose variability were improved significantly. Suppression of ghrelin secretion postoperatively might be a driver of this early improved glycemia homeostasis.
Graphical abstract |
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| AbstractList | PURPOSEThis study aims to examine the changes of glucose metabolism, glucose variability (GV), and ghrelin secretion within 1 week following SG in Chinese patients with obesity. MATERIALS AND METHODSForty-nine patients with obesity (15 with type 2 diabetes) were enrolled to undergo SG. Within 1 week before and after surgery, liquid meal tests were performed in all subjects, and continuous glucose monitoring (CGM) was performed in diabetic patients. Blood samples were collected at 0, 15, 30, 45, 60, 120, and 180 min for glucose, C-peptide, insulin, and ghrelin analysis in liquid meal test. Mean amplitude of glucose excursions (MAGE), standard deviations (SD), and percent time-in-range (%TIR) determined by CGM were analyzed. RESULTSBoth in diabetic and non-diabetic groups, significant decrease was observed in glucose, insulin, C-peptide, and ghrelin. Homeostasis model assessment-insulin resistance and liver fat content was decreased. In diabetic group, MAGE and SD were decreased significantly, and the percent time-in-range was higher. The decrease in blood glucose was positively correlated with the decrease in ghrelin concentration in non-diabetic group. CONCLUSIONWithin 1 week after SG, both glucose metabolism and glucose variability were improved significantly. Suppression of ghrelin secretion postoperatively might be a driver of this early improved glycemia homeostasis. This study aims to examine the changes of glucose metabolism, glucose variability (GV), and ghrelin secretion within 1 week following SG in Chinese patients with obesity. Forty-nine patients with obesity (15 with type 2 diabetes) were enrolled to undergo SG. Within 1 week before and after surgery, liquid meal tests were performed in all subjects, and continuous glucose monitoring (CGM) was performed in diabetic patients. Blood samples were collected at 0, 15, 30, 45, 60, 120, and 180 min for glucose, C-peptide, insulin, and ghrelin analysis in liquid meal test. Mean amplitude of glucose excursions (MAGE), standard deviations (SD), and percent time-in-range (%TIR) determined by CGM were analyzed. Both in diabetic and non-diabetic groups, significant decrease was observed in glucose, insulin, C-peptide, and ghrelin. Homeostasis model assessment-insulin resistance and liver fat content was decreased. In diabetic group, MAGE and SD were decreased significantly, and the percent time-in-range was higher. The decrease in blood glucose was positively correlated with the decrease in ghrelin concentration in non-diabetic group. Within 1 week after SG, both glucose metabolism and glucose variability were improved significantly. Suppression of ghrelin secretion postoperatively might be a driver of this early improved glycemia homeostasis. Purpose This study aims to examine the changes of glucose metabolism, glucose variability (GV), and ghrelin secretion within 1 week following SG in Chinese patients with obesity. Materials and Methods Forty-nine patients with obesity (15 with type 2 diabetes) were enrolled to undergo SG. Within 1 week before and after surgery, liquid meal tests were performed in all subjects, and continuous glucose monitoring (CGM) was performed in diabetic patients. Blood samples were collected at 0, 15, 30, 45, 60, 120, and 180 min for glucose, C-peptide, insulin, and ghrelin analysis in liquid meal test. Mean amplitude of glucose excursions (MAGE), standard deviations (SD), and percent time-in-range (%TIR) determined by CGM were analyzed. Results Both in diabetic and non-diabetic groups, significant decrease was observed in glucose, insulin, C-peptide, and ghrelin. Homeostasis model assessment-insulin resistance and liver fat content was decreased. In diabetic group, MAGE and SD were decreased significantly, and the percent time-in-range was higher. The decrease in blood glucose was positively correlated with the decrease in ghrelin concentration in non-diabetic group. Conclusion Within 1 week after SG, both glucose metabolism and glucose variability were improved significantly. Suppression of ghrelin secretion postoperatively might be a driver of this early improved glycemia homeostasis. Graphical abstract |
| Author | Wang, Liu Gao, Xin Bian, Hua Shi, Chenye Xia, Mingfeng Yang, Xinyu Chang, Xinxia Sun, Xiaoyang Wu, Haifu Zhu, Xiaopeng Lou, Wenhui Jiao, Huan Yan, Hongmei |
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| CitedBy_id | crossref_primary_10_1016_j_diabres_2023_110667 crossref_primary_10_2139_ssrn_4195261 crossref_primary_10_4093_dmj_2021_0164 crossref_primary_10_1177_26345161231218918 crossref_primary_10_1007_s11695_023_06704_1 crossref_primary_10_3390_nu16071071 crossref_primary_10_1038_s41598_022_18487_z crossref_primary_10_1016_j_cca_2023_117558 crossref_primary_10_1507_endocrj_EJ23_0567 crossref_primary_10_3389_fendo_2023_1238060 crossref_primary_10_3389_fmed_2022_957478 |
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| Keywords | Continuous glucose monitoring Glucose variability Ghrelin Sleeve gastrectomy |
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publication-title: Cell Metab doi: 10.1016/j.cmet.2006.04.004 contributor: fullname: Y Sun – volume: 303 start-page: E122 issue: 1 year: 2012 ident: 5534_CR4 publication-title: Am J Physiol Endocrinol Metab doi: 10.1152/ajpendo.00073.2012 contributor: fullname: NB Jorgensen |
| SSID | ssj0021622 |
| Score | 2.4380102 |
| Snippet | Purpose
This study aims to examine the changes of glucose metabolism, glucose variability (GV), and ghrelin secretion within 1 week following SG in Chinese... This study aims to examine the changes of glucose metabolism, glucose variability (GV), and ghrelin secretion within 1 week following SG in Chinese patients... PurposeThis study aims to examine the changes of glucose metabolism, glucose variability (GV), and ghrelin secretion within 1 week following SG in Chinese... PURPOSEThis study aims to examine the changes of glucose metabolism, glucose variability (GV), and ghrelin secretion within 1 week following SG in Chinese... |
| SourceID | proquest crossref pubmed springer |
| SourceType | Aggregation Database Index Database Publisher |
| StartPage | 4005 |
| SubjectTerms | Blood Glucose Blood Glucose Self-Monitoring Diabetes Diabetes Mellitus, Type 2 - surgery Gastrectomy Ghrelin Glucose Glucose monitoring Homeostasis Humans Insulin Insulin resistance Medicine Medicine & Public Health Metabolism Obesity, Morbid - surgery Original Contributions Peptides Surgery |
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| Title | Acute Effects of Sleeve Gastrectomy on Glucose Variability, Glucose Metabolism, and Ghrelin Response |
| URI | https://link.springer.com/article/10.1007/s11695-021-05534-3 https://www.ncbi.nlm.nih.gov/pubmed/34240316 https://www.proquest.com/docview/2565280272/abstract/ https://search.proquest.com/docview/2550268240 |
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