PMID- 26225223 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150730 LR - 20181113 IS - 2163-8306 (Print) IS - 2163-8306 (Electronic) IS - 2163-8306 (Linking) VI - 4 IP - 1 DP - 2015 Jan TI - The Effects of a GLP-1 Analog on Glucose Homeostasis in Type 2 Diabetes Mellitus Quantified by an Integrated Glucose Insulin Model. PG - e00011 LID - 10.1002/psp4.11 [doi] LID - e00011 AB - In recent years, several glucagon-like peptide-1 (GLP-1)-based therapies for the treatment of type 2 diabetes mellitus (T2DM) have been developed. The aim of this work was to extend the semimechanistic integrated glucose-insulin model to include the effects of a GLP-1 analog on glucose homeostasis in T2DM patients. Data from two trials comparing the effect of steady-state liraglutide vs. placebo on the responses of postprandial glucose and insulin in T2DM patients were used for model development. The effect of liraglutide was incorporated in the model by including a stimulatory effect on insulin secretion. Furthermore, for one of the trials an inhibitory effect on glucose absorption was included to account for a delay in gastric emptying. As other GLP-1 receptor agonists have similar modes of action, it is believed that the model can also be used to describe the effect of other receptor agonists on glucose homeostasis. FAU - Roge, R M AU - Roge RM AD - Novo Nordisk A/S Soborg, Denmark ; Department of Pharmaceutical Biosciences, Uppsala University Uppsala, Sweden. FAU - Klim, S AU - Klim S AD - Novo Nordisk A/S Soborg, Denmark. FAU - Ingwersen, S H AU - Ingwersen SH AD - Novo Nordisk A/S Soborg, Denmark. FAU - Kjellsson, M C AU - Kjellsson MC AD - Department of Pharmaceutical Biosciences, Uppsala University Uppsala, Sweden. FAU - Kristensen, N R AU - Kristensen NR AD - Novo Nordisk A/S Soborg, Denmark. LA - eng PT - Journal Article DEP - 20141230 PL - United States TA - CPT Pharmacometrics Syst Pharmacol JT - CPT: pharmacometrics & systems pharmacology JID - 101580011 PMC - PMC4369758 EDAT- 2015/08/01 06:00 MHDA- 2015/08/01 06:01 PMCR- 2015/01/01 CRDT- 2015/07/31 06:00 PHST- 2014/09/08 00:00 [received] PHST- 2014/11/04 00:00 [accepted] PHST- 2015/07/31 06:00 [entrez] PHST- 2015/08/01 06:00 [pubmed] PHST- 2015/08/01 06:01 [medline] PHST- 2015/01/01 00:00 [pmc-release] AID - 10.1002/psp4.11 [doi] PST - ppublish SO - CPT Pharmacometrics Syst Pharmacol. 2015 Jan;4(1):e00011. doi: 10.1002/psp4.11. Epub 2014 Dec 30.