Metformin and the gastrointestinal tract.

Abstract:

:Metformin is an effective agent with a good safety profile that is widely used as a first-line treatment for type 2 diabetes, yet its mechanisms of action and variability in terms of efficacy and side effects remain poorly understood. Although the liver is recognised as a major site of metformin pharmacodynamics, recent evidence also implicates the gut as an important site of action. Metformin has a number of actions within the gut. It increases intestinal glucose uptake and lactate production, increases GLP-1 concentrations and the bile acid pool within the intestine, and alters the microbiome. A novel delayed-release preparation of metformin has recently been shown to improve glycaemic control to a similar extent to immediate-release metformin, but with less systemic exposure. We believe that metformin response and tolerance is intrinsically linked with the gut. This review examines the passage of metformin through the gut, and how this can affect the efficacy of metformin treatment in the individual, and contribute to the side effects associated with metformin intolerance.

journal_name

Diabetologia

journal_title

Diabetologia

authors

McCreight LJ,Bailey CJ,Pearson ER

doi

10.1007/s00125-015-3844-9

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

426-35

issue

3

eissn

0012-186X

issn

1432-0428

pii

10.1007/s00125-015-3844-9

journal_volume

59

pub_type

杂志文章,评审
  • Enterovirus infection is associated with an increased risk of childhood type 1 diabetes in Taiwan: a nationwide population-based cohort study.

    abstract:AIMS/HYPOTHESIS:This study compared the incidence rate of type 1 diabetes in children diagnosed with enterovirus (EV) infections with that in age- and sex-matched children without EV infection in a population-based cohort. In addition, we examined whether the direction or magnitude of the association between EV infecti...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-014-3400-z

    authors: Lin HC,Wang CH,Tsai FJ,Hwang KP,Chen W,Lin CC,Li TC

    更新日期:2015-01-01 00:00:00

  • The HLA-DR phenotype modulates the humoral immune response to enterovirus antigens.

    abstract:AIMS/HYPOTHESIS:Enterovirus infections are among the environmental risk factors potentially contributing to the pathogenesis of Type 1 diabetes. The aim of this study was to evaluate virus-host interaction by analysing the enterovirus antibody levels in subjects carrying different HLA-DR alleles associated with either ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-003-1157-x

    authors: Sadeharju K,Knip M,Hiltunen M,Akerblom HK,Hyöty H

    更新日期:2003-08-01 00:00:00

  • Biomedical risk factors for decreased cognitive functioning in type 1 diabetes: an 18 year follow-up of the Diabetes Control and Complications Trial (DCCT) cohort.

    abstract:AIMS/HYPOTHESIS:In patients with type 1 diabetes, there has been concern about the effects of recurrent hypoglycaemia and chronic hyperglycaemia on cognitive function. Because other biomedical factors may also increase the risk of cognitive decline, this study examined whether macrovascular risk factors (hypertension, ...

    journal_title:Diabetologia

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00125-010-1883-9

    authors: Jacobson AM,Ryan CM,Cleary PA,Waberski BH,Weinger K,Musen G,Dahms W,Diabetes Control and Complications Trial\/EDIC Research Group.

    更新日期:2011-02-01 00:00:00

  • Zinc sulphate induces metallothionein in pancreatic islets of mice and protects against diabetes induced by multiple low doses of streptozotocin.

    abstract:AIMS/HYPOTHESIS:Diabetes is induced by multiple low doses of streptozotocin (MLD-STZ) in male mice of susceptible strains. In this model beta-cell injury and T-cell-mediated inflammatory reactions are induced. Probably, reactive oxygen species (ROS) participate in the destruction of beta cells. The effects of ROS can b...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s001250050009

    authors: Ohly P,Dohle C,Abel J,Seissler J,Gleichmann H

    更新日期:2000-08-01 00:00:00

  • Inhibition of development of peripheral neuropathy in streptozotocin-induced diabetic rats with N-acetylcysteine.

    abstract::N-acetylcysteine (NAC) is a precursor of glutathione (GSH) synthesis, a free radical scavenger and an inhibitor of tumour necrosis factor alpha (TNF). Because these functions might be beneficial in diabetic complications, in this study we examined whether NAC inhibits peripheral neuropathy. Motor nerve conduction velo...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00418340

    authors: Sagara M,Satoh J,Wada R,Yagihashi S,Takahashi K,Fukuzawa M,Muto G,Muto Y,Toyota T

    更新日期:1996-03-01 00:00:00

  • The effect of unabsorbable carbohydrate on gut hormones. Modification of post-prandial GIP secretion by guar.

    abstract::Five healthy volunteers and 6 diabetics were given a mixed test meal on two occasions--once with and once without 10 g guar flour. Addition of guar caused a 47% decrease in maximum post-prandial GIP levels, a 48% decrease in blood glucose and a 48% decrease in plasma insulin in normal subjects. In diabetics, addition ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF01222207

    authors: Morgan LM,Goulder TJ,Tsiolakis D,Marks V,Alberti KG

    更新日期:1979-08-01 00:00:00

  • Does self-monitoring of blood glucose improve outcome in type 2 diabetes? The Fremantle Diabetes Study.

    abstract:AIMS/HYPOTHESIS:To assess whether self-monitoring of blood glucose (SMBG) is an independent predictor of improved outcome in a community-based cohort of type 2 diabetic patients. MATERIALS AND METHODS:We used longitudinal data from (1) 1,280 type 2 diabetic participants in the observational Fremantle Diabetes Study (F...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-006-0581-0

    authors: Davis WA,Bruce DG,Davis TM

    更新日期:2007-03-01 00:00:00

  • Glycaemic control is improved by 7 days of aerobic exercise training in patients with type 2 diabetes.

    abstract:AIMS/HYPOTHESIS:Cardiovascular events and death are better predicted by postprandial glucose (PPG) than by fasting blood glucose or HbA(1c). While chronic exercise reduces HbA(1c) in patients with type 2 diabetes, short-term exercise improves measures of insulin sensitivity but does not consistently alter responses to ...

    journal_title:Diabetologia

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00125-012-2490-8

    authors: Mikus CR,Oberlin DJ,Libla J,Boyle LJ,Thyfault JP

    更新日期:2012-05-01 00:00:00

  • Genetic risk scores ascertained in early adulthood and the prediction of type 2 diabetes later in life.

    abstract::It is hoped that information garnered from studies on population genetics will one day be translated into a form in which it meaningfully improves the prediction, prevention or treatment of type 2 diabetes. Type 2 diabetes genetics researchers have made extraordinary progress in identifying common genetic variants tha...

    journal_title:Diabetologia

    pub_type: 评论,杂志文章

    doi:10.1007/s00125-012-2683-1

    authors: Franks PW

    更新日期:2012-10-01 00:00:00

  • Effects of olmesartan on renal and cardiovascular outcomes in type 2 diabetes with overt nephropathy: a multicentre, randomised, placebo-controlled study.

    abstract:AIMS/HYPOTHESIS:The renal and cardiovascular protective effects of angiotensin receptor blocker (ARB) remain controversial in type 2 diabetic patients treated with a contemporary regimen including an angiotensin converting enzyme inhibitor (ACEI). METHODS:We examined the effects of olmesartan, an ARB, on primary compo...

    journal_title:Diabetologia

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00125-011-2325-z

    authors: Imai E,Chan JC,Ito S,Yamasaki T,Kobayashi F,Haneda M,Makino H,ORIENT study investigators.

    更新日期:2011-12-01 00:00:00

  • Abnormal regulation of sympathetic nervous activity and heart rate after oral glucose in type 1 (insulin-dependent) diabetic patients.

    abstract::Oral glucose administration increased plasma noradrenaline concentration significantly in seven normal subjects (p less than 0.02), whereas in six young short-term Type 1 diabetic patients without complications plasma noradrenaline did not change. Basal plasma noradrenaline did not differ between the two groups. In th...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00279937

    authors: Hegedüs L,Christensen NJ,Sestoft L

    更新日期:1983-09-01 00:00:00

  • The effect of insulin on renal sodium metabolism. A review with clinical implications.

    abstract::Data are discussed which demonstrate that insulin plays an important role in sodium metabolism. The primary action of insulin on sodium balance is exerted on the kidney. Increases in plasma insulin concentration within the physiological range stimulate sodium reabsorption by the distal nephron segments and this effect...

    journal_title:Diabetologia

    pub_type: 杂志文章,评审

    doi:10.1007/BF00252649

    authors: DeFronzo RA

    更新日期:1981-09-01 00:00:00

  • High amniotic fluid erythropoietin levels are associated with an increased frequency of fetal and neonatal morbidity in type 1 diabetic pregnancies.

    abstract:AIMS/HYPOTHESIS:In this study we investigated whether chronic fetal hypoxia, as indicated by amniotic fluid erythropoietin levels, is associated with perinatal morbidity in type 1 diabetic pregnancies. METHODS:A total of 331 women with type 1 diabetes had at least one childbirth between 1995 and 2000. The amniotic flu...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-004-1515-3

    authors: Teramo K,Kari MA,Eronen M,Markkanen H,Hiilesmaa V

    更新日期:2004-10-01 00:00:00

  • Nitrative stress and poly(ADP-ribose) polymerase activation in healthy and gestational diabetic pregnancies.

    abstract:AIMS/HYPOTHESIS:Increased oxidative-nitrosative stress, poly(ADP-ribose) polymerase (PARP) activation and subsequent cellular damage play important roles in the complications of both diabetes mellitus and pregnancy. Our aim was to investigate nitrative stress and PARP activity levels during normal and gestational diabe...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-009-1435-3

    authors: Horváth EM,Magenheim R,Kugler E,Vácz G,Szigethy A,Lévárdi F,Kollai M,Szabo C,Lacza Z

    更新日期:2009-09-01 00:00:00

  • Racial and ethnic disparities in extremes of fetal growth after gestational diabetes mellitus.

    abstract:AIMS/HYPOTHESIS:The aim of this study was to assess and compare risks of having large- or small-for gestational age (LGA and SGA, respectively) infants born to women with gestational diabetes mellitus (GDM) from ten racial/ethnic groups. METHODS:LGA and SGA were defined as birthweight >90th and <10th percentile, respe...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-014-3420-8

    authors: Xiang AH,Black MH,Li BH,Martinez MP,Sacks DA,Lawrence JM,Buchanan TA,Jacobsen SJ

    更新日期:2015-02-01 00:00:00

  • In vivo non-viral gene delivery of human vascular endothelial growth factor improves revascularisation and restoration of euglycaemia after human islet transplantation into mouse liver.

    abstract:AIMS/HYPOTHESIS:Delivery of the gene for human vascular endothelial growth factor (VEGF, also known as VEGFA) to both the transplanted islets and the surrounding tissue may promote islet revascularisation and survival. We previously showed the effective delivery of VEGF gene to rat myocardium by an ultrasound-mediated ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-010-1745-5

    authors: Shimoda M,Chen S,Noguchi H,Matsumoto S,Grayburn PA

    更新日期:2010-08-01 00:00:00

  • Comparison of the course to end-stage renal disease of type 1 (insulin-dependent) and type 2 (non-insulin-dependent) diabetic nephropathy.

    abstract::Is the course leading to diabetic end-stage renal disease similar for Type 1 (insulin-dependent) and Type 2 (non-insulin-dependent) diabetes mellitus? We identified all diabetic end-stage renal disease patients starting renal replacement therapy from 1989 to 1991 in two urban counties in Texas. Three ethnic/racial gro...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF02374504

    authors: Pugh JA,Medina R,Ramirez M

    更新日期:1993-10-01 00:00:00

  • Reclassification of asymptomatic beta cell autoimmunity: a critical perspective.

    abstract::Type 1 diabetes is an immune-mediated disease leading to almost total beta cell destruction and permanent exogenous insulin dependency. The appearance of clinical symptoms is preceded by an asymptomatic preclinical period, the duration of which is highly individual. The emergence of diabetes-associated autoantibodies ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-016-4147-5

    authors: Knip M,Selvenius J,Siljander H,Veijola R

    更新日期:2017-01-01 00:00:00

  • Coronary heart disease in young type 1 (insulin-dependent) diabetic patients with and without diabetic nephropathy: incidence and risk factors.

    abstract::Fifty-nine Type 1 (insulin-dependent) diabetic patients with (group I) and 59 patients without nephropathy (group II) pair-matched according to sex (30 males and 29 females), age (33 years, range 15-48) and diabetes duration (19 years, range 6-42) were followed for a period of 10 years from about 5 years before to 5 y...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00274218

    authors: Jensen T,Borch-Johnsen K,Kofoed-Enevoldsen A,Deckert T

    更新日期:1987-03-01 00:00:00

  • Beta-cell cytoplasmic Ca2+ balance as a determinant for glucose-stimulated insulin release.

    abstract::The introduction of new techniques and the access to clonal lines of insulin-secreting cells have enabled re-evaluation of glucose effects on Ca2+ movements in pancreatic beta cells. It became evident that glucose, in addition to stimulating the entry of Ca2+, also promotes active sequestration of the ion in intracell...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00281983

    authors: Hellman B

    更新日期:1985-08-01 00:00:00

  • Seasonality of birth in patients with childhood Type I diabetes in 19 European regions.

    abstract:AIMS/HYPOTHESIS:Differences in seasonality of birth patterns between the general population and the group who develop Type I (insulin-dependent) diabetes mellitus indicate that environmental factors operating around the antenatal and perinatal period could be important. We investigated whether the same unsual patterns ...

    journal_title:Diabetologia

    pub_type: 杂志文章,多中心研究

    doi:10.1007/pl00002957

    authors: McKinney PA,EURODIAB Seasonality Of Birth Group. Europe and Diabetes.

    更新日期:2001-10-01 00:00:00

  • PGE2 receptor EP3 inhibits water reabsorption and contributes to polyuria and kidney injury in a streptozotocin-induced mouse model of diabetes.

    abstract:AIMS/HYPOTHESIS:The first clinical manifestation of diabetes is polyuria. The prostaglandin E2 (PGE2) receptor EP3 antagonises arginine vasopressin (AVP)-mediated water reabsorption and its expression is increased in the diabetic kidney. The purpose of this work was to study the contribution of EP3 to diabetic polyuria...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-016-3916-5

    authors: Hassouneh R,Nasrallah R,Zimpelmann J,Gutsol A,Eckert D,Ghossein J,Burns KD,Hébert RL

    更新日期:2016-06-01 00:00:00

  • The influence of the ACE ( I/D) polymorphism on systemic and renal vascular responses to angiotensins in normotensive, normoalbuminuric Type 1 diabetes mellitus.

    abstract:AIM/HYPOTHESIS:The renin-angiotensin-aldosterone system is important in diabetic nephropathy, with the angiotensin-converting-enzyme DD-genotype being a renal risk factor. The D-allele is associated with higher ACE concentrations, but functional consequences in diabetes mellitus are not known. To analyse these conseque...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-003-1149-x

    authors: Luik PT,Hoogenberg K,Kerstens MN,Beusekamp BJ,De Jong PE,Dullaart RP,Navis GJ

    更新日期:2003-08-01 00:00:00

  • Vildagliptin therapy reduces postprandial intestinal triglyceride-rich lipoprotein particles in patients with type 2 diabetes.

    abstract:AIMS/HYPOTHESIS:We assessed the effects of vildagliptin, a novel dipeptidyl peptidase IV inhibitor, on postprandial lipid and lipoprotein metabolism in patients with type 2 diabetes. SUBJECTS, MATERIALS AND METHODS:This was a single-centre, randomised, double-blind study in drug-naive patients with type 2 diabetes. Pa...

    journal_title:Diabetologia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00125-006-0340-2

    authors: Matikainen N,Mänttäri S,Schweizer A,Ulvestad A,Mills D,Dunning BE,Foley JE,Taskinen MR

    更新日期:2006-09-01 00:00:00

  • Differential relationship between physical activity and progression to diabetes by glucose tolerance status: the Inter99 Study.

    abstract:AIMS/HYPOTHESIS:The aim of the study was to analyse how strongly commuting and leisure-time physical activity affect progression to diabetes and to study whether this relationship is different in individuals with isolated impaired fasting glucose (i-IFG) and isolated impaired glucose tolerance (i-IGT). METHODS:We stud...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-009-1587-1

    authors: Engberg S,Glümer C,Witte DR,Jørgensen T,Borch-Johnsen K

    更新日期:2010-01-01 00:00:00

  • The G972R variant of the insulin receptor substrate-1 (IRS-1) gene, body fat distribution and insulin-resistance.

    abstract:AIMS/HYPOTHESIS:Insulin resistance is recognised as the core factor in the pathogenesis of Type II (non-insulin-dependent) diabetes mellitus, hypertension and atherosclerosis. Several studies indicate the possible role of mutations of the insulin receptor substrate-1 (IRS-1) gene in the pathogenesis of insulin-resistan...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s001250051628

    authors: Baroni MG,Arca M,Sentinelli F,Buzzetti R,Capici F,Lovari S,Vitale M,Romeo S,Di Mario U

    更新日期:2001-03-01 00:00:00

  • Predictors of 10-year macrovascular and overall mortality in patients with NIDDM: the Munich General Practitioner Project.

    abstract::The 10-year follow-up of the Munich General Practitioner Project was designed as a long-term prospective study to evaluate factors predicting macrovascular and overall mortality in a random cohort of non-insulin-dependent diabetic (NIDDM) patients. Of the original 290 patients (103 males, 187 females, median age 65 ye...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s001250050612

    authors: Standl E,Balletshofer B,Dahl B,Weichenhain B,Stiegler H,Hörmann A,Holle R

    更新日期:1996-12-01 00:00:00

  • Effect of age on the association of non-high-density-lipoprotein cholesterol and apolipoprotein B with cardiovascular mortality in a Mediterranean population with type 2 diabetes: the Casale Monferrato study.

    abstract:AIMS/HYPOTHESIS:Measurement of plasma apolipoprotein (Apo) B may improve prediction of cardiovascular risk, as it provides a measure of the total number of atherogenic particles. The aim of this population-based study was to compare the association of non-HDL-cholesterol, ApoB and the ApoB:ApoA-I ratio with cardiovascu...

    journal_title:Diabetologia

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00125-006-0195-6

    authors: Bruno G,Merletti F,Biggeri A,Bargero G,Prina-Cerai S,Pagano G,Cavallo-Perin P

    更新日期:2006-05-01 00:00:00

  • Family history of myocardial infarction, stroke and diabetes and cardiometabolic markers in children.

    abstract:AIMS/HYPOTHESIS:Despite the overlap in occurrence of cardiovascular disease (CVD) and type 2 diabetes and their risk factors, family history of these diseases has not yet been investigated simultaneously in relation to cardiometabolic markers in offspring. We examined how a family history of CVD and/or diabetes relates...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-016-3988-2

    authors: Berentzen NE,Wijga AH,van Rossem L,Koppelman GH,van Nieuwenhuizen B,Gehring U,Spijkerman AM,Smit HA

    更新日期:2016-08-01 00:00:00

  • Raised serum apolipoprotein (a) in active diabetic retinopathy.

    abstract::Progressive capillary occlusion often leads to severe retinopathy within 15-20 years of the onset of Type 1 (insulin-dependent) diabetes mellitus. Lipoprotein(a), a complex formed by apolipoprotein(a), apo B-100 and lipids, is considered an independent, genetically determined, predictor of cardiovascular disease. It m...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00399100

    authors: Maioli M,Tonolo G,Pacifico A,Ciccarese M,Brizzi P,Kohner EM,Porta M

    更新日期:1993-01-01 00:00:00