Dasiglucagon Effectively Mitigates Postbariatric Postprandial Hypoglycemia: A Randomized, Double-Blind, Placebo-Controlled, Crossover Trial
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Dasiglucagon Effectively Mitigates Postbariatric Postprandial Hypoglycemia : A Randomized, Double-Blind, Placebo-Controlled, Crossover Trial. / Nielsen, Casper K; Øhrstrøm, Caroline C; Kielgast, Urd L.; Hansen, Dorte L.; Hartmann, Bolette; Holst, Jens J; Lund, Asger; Vilsbøll, Tina; Knop, Filip K.
I: Diabetes Care, Bind 45, Nr. 6, 2022, s. 1476–1481.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › fagfællebedømt
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TY - JOUR
T1 - Dasiglucagon Effectively Mitigates Postbariatric Postprandial Hypoglycemia
T2 - A Randomized, Double-Blind, Placebo-Controlled, Crossover Trial
AU - Nielsen, Casper K
AU - Øhrstrøm, Caroline C
AU - Kielgast, Urd L.
AU - Hansen, Dorte L.
AU - Hartmann, Bolette
AU - Holst, Jens J
AU - Lund, Asger
AU - Vilsbøll, Tina
AU - Knop, Filip K
N1 - © 2022 by the American Diabetes Association.
PY - 2022
Y1 - 2022
N2 - OBJECTIVE: To investigate the efficacy and safety of dasiglucagon, a novel stable glucagon analog in a liquid formulation, in Roux-en-Y gastric bypass (RYGB)-operated individuals suffering from postbariatric hypoglycemia (PBH).RESEARCH DESIGN AND METHODS: In a randomized, double-blind, placebo-controlled, crossover trial, 10 RYGB-operated participants with continuous glucose monitoring-verified PBH were randomly assigned to 3 trial days, each consisting of a 240-min standardized liquid mixed-meal test with the subcutaneous injection of placebo or 80 μg or 200 μg dasiglucagon.RESULTS: Compared with placebo, treatment with both 80 and 200 µg dasiglucagon raised nadir plasma glucose (PG) (placebo: 3.0 ± 0.2 mmol/L [mean ± SEM]; 80 μg dasiglucagon: 3.9 ± 0.3 mmol/L, P = 0.002; 200 μg dasiglucagon: 4.5 ± 0.2 mmol/L, P = 0.0002) and reduced time in hypoglycemia (PG <3.9 mmol/L) by 70.0 min (P = 0.030 and P = 0.008).CONCLUSIONS: Single-dose administration of dasiglucagon effectively mitigated postprandial hypoglycemia.
AB - OBJECTIVE: To investigate the efficacy and safety of dasiglucagon, a novel stable glucagon analog in a liquid formulation, in Roux-en-Y gastric bypass (RYGB)-operated individuals suffering from postbariatric hypoglycemia (PBH).RESEARCH DESIGN AND METHODS: In a randomized, double-blind, placebo-controlled, crossover trial, 10 RYGB-operated participants with continuous glucose monitoring-verified PBH were randomly assigned to 3 trial days, each consisting of a 240-min standardized liquid mixed-meal test with the subcutaneous injection of placebo or 80 μg or 200 μg dasiglucagon.RESULTS: Compared with placebo, treatment with both 80 and 200 µg dasiglucagon raised nadir plasma glucose (PG) (placebo: 3.0 ± 0.2 mmol/L [mean ± SEM]; 80 μg dasiglucagon: 3.9 ± 0.3 mmol/L, P = 0.002; 200 μg dasiglucagon: 4.5 ± 0.2 mmol/L, P = 0.0002) and reduced time in hypoglycemia (PG <3.9 mmol/L) by 70.0 min (P = 0.030 and P = 0.008).CONCLUSIONS: Single-dose administration of dasiglucagon effectively mitigated postprandial hypoglycemia.
U2 - 10.2337/dc21-2252
DO - 10.2337/dc21-2252
M3 - Journal article
C2 - 35320361
VL - 45
SP - 1476
EP - 1481
JO - Diabetes Care
JF - Diabetes Care
SN - 1935-5548
IS - 6
ER -
ID: 301823969