Influence of exogenous insulin on C-peptide levels in subjects with type 2 diabetes

M. Albareda, M. Rigla, J. Rodríguez-Espinosa, A. Caballero, A. Chico, R. Cabezas, G. Carreras, A. Pérez

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18 Citations (Scopus)

Abstract

Aim: The aim of this study was to determine whether the influence of insulin therapy on fasting and stimulated C-peptide levels in type 2 diabetic subjects is due to plasma glucose reduction or a direct effect of exogenous insulin. Methods: Plasma glucose and serum C-peptide levels were determined before and after IV injection of 1 mg glucagon on three separate days in 21 type 2 diabetic subjects. Day 1: without pharmacological treatment and fasting plasma glucose >11.1 mmol/L; day 2: fasting plasma glucose 4.4-7.8 mmol/L, 1 h after withdrawing intravenous regular insulin infusion; day 3: fasting plasma glucose 4.4-7.8 mmol/L with bed-time NPH insulin. Results: Fasting and glucagon stimulated C-peptide levels were higher on day 1 than days 2 and 3. Fasting, but not stimulated C-peptide levels, were lower on day 3 than day 2. These differences were not appeared when the percentage of C-peptide increment or the C-peptide/glucose ratio were compared in the three days. Conclusions: Blood glucose reduction instead of exogenous insulin is responsible for the C-peptide decrease during insulin therapy in type 2 diabetic subjects. © 2004 Elsevier Ireland Ltd. All rights reserved.
Original languageEnglish
Pages (from-to)202-206
JournalDiabetes Research and Clinical Practice
Volume68
DOIs
Publication statusPublished - 1 Jun 2005

Keywords

  • C-peptide
  • Glucagon
  • Insulin treatment
  • Type 2 diabetes mellitus

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