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Glucose metabolism and the postprandial state
Author(s) -
Pierre Lefèbvre,
André Scheen
Publication year - 1999
Publication title -
european journal of clinical investigation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.164
H-Index - 107
eISSN - 1365-2362
pISSN - 0014-2972
DOI - 10.1046/j.1365-2362.1999.00003.x
Subject(s) - postprandial , medicine , endocrinology , type 2 diabetes , carbohydrate metabolism , insulin , diabetes mellitus , gastric emptying , metabolism , stomach
Disturbances of postprandial glucose metabolism are now thought to contribute to cardiovascular disease. Postprandial glucose excursions can be affected by a number of factors, such as the types of carbohydrates ingested and the way they are metabolized. In Type 2 diabetes, factors that contribute to excessive postprandial glucose excursions include disruption of insulin secretion, insufficient inhibition of hepatic glucose production and defective glucose storage in muscle. A number of measures may attenuate excessive postprandial blood glucose excursions. These include a diet high in ‘low glycaemic index’ foods and treatment with drugs that improve or restore the hormonal response (e.g. the sulphonylureas and the newer β‐cell mediated insulinotropic drugs such as repaglinide), that improve insulin sensitivity or that delay gastric emptying.