Mechanism of increase in plasma intact GLP-1 by metformin in type 2 diabetes: stimulation of GLP-1 secretion or reduction in plasma DPP-4 activity?

Diabetes Res Clin Pract. 2014 Oct;106(1):e3-6. doi: 10.1016/j.diabres.2014.08.004. Epub 2014 Aug 12.

Abstract

Metformin was reported to increase plasma intact glucagon-like peptide-1 (GLP-1) concentrations in type 2 diabetes. This is, at least partly, attributable to stimulation of GLP-1 secretion. A reduction in soluble dipeptidyl peptidase-4 activity may also make a modest contribution.

Keywords: Dipeptidyl peptidase-4; Enteral nutrition; Glucagon-like peptide-1; Metformin.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blood Glucose / analysis
  • Cross-Over Studies
  • Diabetes Mellitus, Type 2 / blood*
  • Diabetes Mellitus, Type 2 / drug therapy
  • Dipeptidyl Peptidase 4 / metabolism*
  • Glucagon-Like Peptide 1 / blood*
  • Glucagon-Like Peptide 1 / metabolism
  • Humans
  • Hypoglycemic Agents / therapeutic use*
  • Male
  • Metformin / therapeutic use*
  • Middle Aged
  • Retrospective Studies

Substances

  • Blood Glucose
  • Hypoglycemic Agents
  • Glucagon-Like Peptide 1
  • Metformin
  • DPP4 protein, human
  • Dipeptidyl Peptidase 4