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November 29, 2016Diabetes Obesity and Metabolism

Effect of exenatide on postprandial glucose fluxes, lipolysis, and ß‐cell function in non‐diabetic, morbidly obese patients

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Key result

Exenatide 10 µg twice daily for 3 months caused significant weight loss (P<0.001) and improved insulin sensitivity in non-diabetic, morbidly obese patients.

Why the study?

Does exenatide improve glucose fluxes, lipolysis, and ß-cell function in non-diabetic, morbidly obese patients?

Population

30 non-diabetic, morbidly obese subjects (n=15 per group)

Comparison

Exenatide 10 µg twice daily for 3 months vs Control for 3 months

Design

Cohort

Follow-up

3 months

Authors

SCStefania CamastraBABrenno AstiarragaATAndrea Tura

Discussion

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Overview

May support short-term GLP-1 use in non-diabetic obesity; leaves open confirmation of durability and outcomes in RCTs.

Study Design

Type

RCT (n=30)

Structured PICO

Does exenatide improve glucose fluxes, lipolysis, and ß-cell function in non-diabetic, morbidly obese patients?

P
Population
30 non-diabetic, morbidly obese patients assigned to exenatide or control for 3 months.
I
Intervention
Exenatide 10 µg twice daily for 3 months
C
Comparator
Control for 3 months
O
Outcome
Glucose disposal, insulin secretion, ß-cell function, lipolysis and hormone concentrations measured via meal test/tracer studysurrogate

Main Result

p-value: p=<.001

In morbidly obese non-diabetic patients, exenatide induces weight loss and improves insulin sensitivity by delaying oral glucose appearance, without altering ß-cell function.

Cite This Study

Camastra et al. (2016) conducted an RCT in non-diabetic, morbidly obese (n=30). exenatide vs. control was evaluated on body weight, glucose disposal, insulin secretion, ß-cell function, lipolysis and hormone concentrations (p=<.001). Exenatide 10 µg twice daily for 3 months caused significant weight loss (P<0.001) and improved insulin sensitivity in non-diabetic, morbidly obese patients.

synapsesocial.com/papers/6a7750390c6965f1a01eb034https://doi.org/10.1111/dom.12836
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Also Consider

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