Descrição: Background:In patients with both Type 1 and Type 2 diabetes endogenous insulin secretion falls with time which changes treatment requirements, however direct measurement of endogenous insulin secretion is rarely performed. We aimed to assess the impact of endogenous insulin secretion on postprandial glucose increase and the effectiveness of prandial exogenous insulin.Methods:We assessed endogenous insulin secretion in 102 participants with insulin treated diabetes (58 Type 1) following a standardised mixed meal without exogenous insulin. We tested the relationship between endogenous insulin secretion and post meal hyperglycaemia. In 80 participants treated with fast acting breakfast insulin we repeated the mixed meal with participants- usual insulin given and assessed the impact of endogenous insulin secretion on response to exogenous prandial insulin.Results:Post meal glucose increment (90-minute - fasting) was inversely correlated with endogenous insulin secretion (90-minute C-peptide) (Spearman-s r-=--0.70, p-
Identificador: doi:10.1186/1472-6823-12-6
Volume: 0
Página: 6 a
