PMID- 21951387 OWN - NLM STAT- MEDLINE DCOM- 20120614 LR - 20120306 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 14 IP - 4 DP - 2012 Apr TI - Current evidence for a role of GLP-1 in Roux-en-Y gastric bypass-induced remission of type 2 diabetes. PG - 291-8 LID - 10.1111/j.1463-1326.2011.01505.x [doi] AB - Weight-reducing surgical procedures such as Roux-en-Y gastric bypass (RYGB) have proven efficient as means of decreasing excess body weight. Furthermore, some studies report that up to 80% of patients with type 2 diabetes mellitus (T2DM) undergoing RYGB experience complete remission of their T2DM. Interestingly, the majority of remissions occur almost immediately following the operation and long before significant weight loss has taken place. Following RYGB, dramatic increases in postprandial plasma concentrations of the incretin hormone glucagon-like peptide-1 (GLP-1) have been recorded, and the known antidiabetic effects of GLP-1 are thought to be key mediators in RYGB-induced remission of T2DM. However, the published studies on the impact of RYGB on GLP-1 secretion are few, small and often not controlled properly. Furthermore, mechanistic studies delineating the role of endogenous GLP-1 secretion in RYGB-induced remission of T2DM are lacking. This article critically evaluates the current evidence for a role of GLP-1 in RYGB-induced remission of T2DM. CI - (c) 2011 Blackwell Publishing Ltd. FAU - Rhee, N A AU - Rhee NA AD - Diabetes Research Division, Department of Internal Medicine F, Gentofte Hospital, University of Copenhagen, Niels Andersens Vej 65, Hellerup, Denmark. FAU - Vilsboll, T AU - Vilsboll T FAU - Knop, F K AU - Knop FK LA - eng PT - Journal Article PT - Review DEP - 20111113 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Blood Glucose) RN - 89750-14-1 (Glucagon-Like Peptide 1) SB - IM MH - Blood Glucose/*metabolism MH - Diabetes Mellitus, Type 2/*metabolism/*surgery MH - Evidence-Based Medicine MH - Female MH - *Gastric Bypass/methods MH - Glucagon-Like Peptide 1/*metabolism MH - Homeostasis MH - Humans MH - Male MH - Obesity/*metabolism/*surgery MH - Postoperative Period MH - Remission Induction/methods MH - Treatment Outcome MH - Weight Loss EDAT- 2011/09/29 06:00 MHDA- 2012/06/15 06:00 CRDT- 2011/09/29 06:00 PHST- 2011/09/29 06:00 [entrez] PHST- 2011/09/29 06:00 [pubmed] PHST- 2012/06/15 06:00 [medline] AID - 10.1111/j.1463-1326.2011.01505.x [doi] PST - ppublish SO - Diabetes Obes Metab. 2012 Apr;14(4):291-8. doi: 10.1111/j.1463-1326.2011.01505.x. Epub 2011 Nov 13.