Glucagon-like Peptide 1, Glucose Metabolism and Gastric Bypass

Description

The overall goal of this project is to understand the mechanisms by which gastric bypass surgery improves glucose metabolism. The central hypothesis guiding this project is that the reconfiguration of intestinal transit with the Roux-en-Y will increase the release of insulinotropic GI hormones, termed incretins that improve insulin secretion and glucose metabolism. The study is divided into three specific aims. 1. To determine the role of incretin hormones on insulin secretion in patients with gastric bypass surgery using intravenous-oral hyperglycemic clamp. 2. To compare incretin effect and glucose tolerance among patient who suffer from hypoglycemia after RYGB and asymptomatic surgical and non-surgical individuals. 3. To quantify the contribution of GLP-1 to incretin effect enhancement following surgery.

Conditions

Post-bariatric Surgery

Study Overview

Study Details

Study overview

The overall goal of this project is to understand the mechanisms by which gastric bypass surgery improves glucose metabolism. The central hypothesis guiding this project is that the reconfiguration of intestinal transit with the Roux-en-Y will increase the release of insulinotropic GI hormones, termed incretins that improve insulin secretion and glucose metabolism. The study is divided into three specific aims. 1. To determine the role of incretin hormones on insulin secretion in patients with gastric bypass surgery using intravenous-oral hyperglycemic clamp. 2. To compare incretin effect and glucose tolerance among patient who suffer from hypoglycemia after RYGB and asymptomatic surgical and non-surgical individuals. 3. To quantify the contribution of GLP-1 to incretin effect enhancement following surgery.

The Role of Glucagon Like Peptide-1 in Glucose Metabolism and Weight Loss Following Gastric Bypass Surgery

Glucagon-like Peptide 1, Glucose Metabolism and Gastric Bypass

Condition
Post-bariatric Surgery
Intervention / Treatment

-

Contacts and Locations

San Antonio

Texas Diabetes Institute - University Health System, San Antonio, Texas, United States, 78207

San Antonio

South Texas Veterans Health Care System, San Antonio, Texas, United States, 78229

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * age 18-65
  • * healthy control without diabetes or active organ disease
  • * Individuals with bariatric surgery
  • * recurrent hypoglycemia post gastric bypass
  • * pregnancy
  • * significant anemia
  • * diabetes currently unless pre-op for bariatric surgery procedure
  • * GI obstruction

Ages Eligible for Study

18 Years to 65 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

The University of Texas Health Science Center at San Antonio,

Marzieh Salehi, MD,MS, PRINCIPAL_INVESTIGATOR, Marzieh Salehi

Study Record Dates

2026-08