Correlation between glomerular filtration rate, fasting glucagon like peptide 1, and response after 75 gram oral glucose loading in type 2 diabetes mellitus

Ni Made Dwi Adnyani; Ida Bagus Aditya Nugraha; I Gde Raka Widiana; Made Ratna Saraswati

doi:10.36216/jpd.v4i1.128

Authors

Ni Made Dwi Adnyani Resident of Internal Medicine, Faculty of Medicine Udayana University, Sanglah Hospital Denpasar
Ida Bagus Aditya Nugraha Resident of Internal Medicine, Faculty of Medicine Udayana University, Sanglah Hospital Denpasar
I Gde Raka Widiana Nephrology Division, Department of Internal Medicine, Faculty of Medicine Udayana University, Sanglah Hospital, Denpasar
Made Ratna Saraswati Endocrinology and Metabolism Division, Department of Internal Medicine, Faculty of Medicine Udayana University, Sanglah Hospital, Denpasar

DOI:

https://doi.org/10.36216/jpd.v4i1.128

Keywords:

T2DM, GLP1, eGFR, fasting glucose

Abstract

Background: Glucagon like peptide 1 (GLP1) is incretin hormone which possess biological effect on the kidneys. In conditions where the estimated glomerular filtration rate (eGFR) decreases or in the condition of chronic kidney disease (CKD), there is an increase in the inactive GLP1 or metabolites levels.

Objective: To prove the relationship between eGFR with fasting and response of GLP1 after oral glucose loading in type 2 diabetes mellitus (T2DM) patients.

Methods: An analytic cross sectional study on fasting and response of GLP1 after glucose loading in 60 subject with T2DM, age 35-65 years, was conducted. Each subject was obtained for fasting GLP1 and 30 minutes after 75 gram oral glucose loading. Subject were grouped based on eLFG into <60 ml/mnt/1.73m²and ?60 ml/mnt/1.73 m².

Result: In the group of T2DM with eGFR <60 ml/mnt/1.73m², median fasting GLP1 was 1.43 (0.38-8.50) ng/mL, in the group of eGFR ?60 ml/mnt/1.73 m²was 1.57 (0.46-3.69) ng/mL (p=0.124). In the group of eGFR <60 ml/mnt/1.73 m², median GLP1 after 30 minutes was increasing to 1.78 (1.12-8.35) ng/mL, as well as in group of eGFR ?60 ml/mnt/1.73 m² 1.79 (0.65-4.22) ng/mL (p=0.250). There were no correlation between fasting and 30 minutes after oral glucose load GLP1 with eGFR (p=0.510).

Conclusion: There were no correlation between eGFR and GLP1, both fasting and 30 minutes after 75 gram oral glucose loading in T2DM. Level of GLP1 was increasing after oral glucose load in T2DM patients but not affected by stage of chronic kidney disease based on eGFR.

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Author Biographies

Ni Made Dwi Adnyani, Resident of Internal Medicine, Faculty of Medicine Udayana University, Sanglah Hospital Denpasar

Resident of Internal Medicine, Faculty of Medicine Udayana University, Sanglah Hospital Denpasar
Ida Bagus Aditya Nugraha, Resident of Internal Medicine, Faculty of Medicine Udayana University, Sanglah Hospital Denpasar

Resident of Internal Medicine, Faculty of Medicine Udayana University, Sanglah Hospital Denpasar
I Gde Raka Widiana, Nephrology Division, Department of Internal Medicine, Faculty of Medicine Udayana University, Sanglah Hospital, Denpasar

Nephrology Division, Department of Internal Medicine, Faculty of Medicine Udayana University, Sanglah Hospital, Denpasar
Made Ratna Saraswati, Endocrinology and Metabolism Division, Department of Internal Medicine, Faculty of Medicine Udayana University, Sanglah Hospital, Denpasar

Endocrinology and Metabolism Division, Department of Internal Medicine, Faculty of Medicine Udayana University, Sanglah Hospital, Denpasar

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