Evidence map›Paper›PMID 8423228›Full record

Trial reportThe Journal of clinical investigation1993

Preserved incretin activity of glucagon-like peptide 1 [7-36 amide] but not of synthetic human gastric inhibitory polypeptide in patients with type-2 diabetes mellitus.

M A Nauck, M M Heimesaat, C Orskov, J J Holst, R Ebert, W Creutzfeldt

6 registry-linked trialsOpen access · bronzeAbstract readClinical TrialComparative StudyControlled Clinical Trial
In one paragraph

Trial report in The Journal of clinical investigation, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 536 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
536citing papers in PubMed, 2 pooled it
15.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00716170 completedstarted 2008, after this paper: background citation

The Role of GIP, GLP-1 and GLP-2 in Type 2 Diabetic Hyperglucagonemia

Ran2008Enrolled10Registered outcomes1Posted comparisons0ConditionsType 2 Diabetes MellitusArmsGlucose-dependent insulinotropic polypeptide (GIP), glucagon-like peptide-1 (GLP-1) and glucagon-like peptide-2 (GLP-2)
Open the trial in the graph
NCT00239707 phase1completednot on this mapstarted 2003, after this paper: background citation

Effect of GIP / GIP Analog in Type 2 Diabetes After a Meal

TypeinterventionalSponsorNational Institute on Aging (NIA)Ran2003 to 2006Enrolled41ConditionsType 2 DiabetesArmsGIP, Modified GIP, Normal Saline
NCT01347801 nacompletednot on this mapstarted 2011, after this paper: background citation

Mechanisms of Insulin Resistance in Critical Illness: Role of Systemic Inflammation and GLP-1

TypeinterventionalSponsorRigshospitalet, DenmarkRan2011 to 2014Enrolled40ConditionsHypoglycaemiaArmsGLP-1, Placebo (Saline), TNF-alfa, OGTT, IVGTT
NCT01698502 completednot on this mapstarted 2012, after this paper: background citation

Does Physical Training Effect the Incretin Effect

TypeobservationalSponsorUniversity of CopenhagenRan2012 to 2013Enrolled21ConditionsHealthy
NCT01975259 completednot on this mapstarted 2013, after this paper: background citation

Investigating the Incretin Effect in Cystic Fibrosis

TypeobservationalSponsorLiverpool Heart and Chest Hospital NHS Foundation TrustRan2013 to 2015Enrolled50ConditionsCystic FibrosisArmsOral Glucose Tolerance test (75g 2-hour), Modified Oral Glucose Tolerance Test (50g 4-hours), Matched isoglycemic clamp, Hyperglycemic clamp with concurrent GLP-1 infusion, Hyperglycemic Clamp with concurrent GIP infusion
NCT02324010 phase2completednot on this mapstarted 2015, after this paper: background citation

Effects of Sitagliptin on Postprandial Glycaemia, Incretin Hormones and Blood Pressure in Type 2 Diabetes - Relationship to Gastric Emptying

TypeinterventionalSponsorRoyal Adelaide HospitalRan2015 to 2017Enrolled14ConditionsGastroparesis, Diabetes MellitusArmsSitagliptin, Placebo
3 · Its place in the literature

Who cites it

536 citing papers in PubMed, 2 syntheses or guidelines pooled it, 1,635 citations in OpenAlex.

  1. New Perspectives in Modulating the Entero-Insular Axis in Pediatric Obesity.International journal of molecular sciences · 2025
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476 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

M A NauckDepartment of Medicine, Georg-August-Universität, Göttingen, Federal Republic of Germany.
M M Heimesaat
C Orskov
J J Holst
R Ebert
W Creutzfeldt
Rigshospitalet · DKUniversity of Göttingen · DEFederal Government of Germany · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In type-2 diabetes, the overall incretin effect is reduced. The present investigation was designed to compare insulinotropic actions of exogenous incretin hormones (gastric inhibitory peptide [GIP] and glucagon-like peptide 1 [GLP-1] [7-36 amide]) in nine type-2 diabetic patients (fasting plasma glucose 7.8 mmol/liter; hemoglobin A1c 6.3 +/- 0.6%) and in nine age- and weight-matched normal subjects. Synthetic human GIP (0.8 and 2.4 pmol/kg.min over 1 h each), GLP-1 [7-36 amide] (0.4 and 1.2 pmol/kg.min over 1 h each), and placebo were administered under hyperglycemic clamp conditions (8.75 mmol/liter) in separate experiments. Plasma GIP and GLP-1 [7-36 amide] concentrations (radioimmunoassay) were comparable to those after oral glucose with the low, and clearly supraphysiological with the high infusion rates. Both GIP and GLP-1 [7-36 amide] dose-dependently augmented insulin secretion (insulin, C-peptide) in both groups (P < 0.05). With GIP, the maximum effect in type-2 diabetic patients was significantly lower (by 54%; P < 0.05) than in normal subjects. With GLP-1 [7-36 amide] type-2 diabetic patients reached 71% of the increments in C-peptide of normal subjects (difference not significant). Glucagon was lowered during hyperglycemic clamps in normal subjects, but not in type-2 diabetic patients, and further by GLP-1 [7-36 amide] in both groups (P < 0.05), but not by GIP. In conclusion, in mild type-2 diabetes, GLP-1 [7-36 amide], in contrast to GIP, retains much of its insulinotropic activity. It also lowers glucagon concentrations.

Indexed as

Blood GlucoseC-PeptideDiabetes Mellitus, Type 2FemaleGastric Inhibitory PolypeptideGlucagonGlucagon-Like Peptide 1Glucagon-Like PeptidesGlucose Clamp TechniqueGlycated HemoglobinHumansInsulinInsulin SecretionKineticsMaleMiddle AgedBlood GlucoseC-PeptideGastric Inhibitory PolypeptideGlucagonGlucagon-Like Peptide 1glucagon-like peptide 1 (7-36)amideGlucagon-Like PeptidesGlycated HemoglobinInsulinPeptide FragmentsProtein Precursors

Identifiers

PMID8423228
PMCPMC330027
OpenAlexW1969932276

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.