Effect of enteral vs. parenteral glucose delivery on initial splanchnic glucose uptake in nondiabetic humans

Adrian Vella, Pankaj Shah, Rita Basu, Ananda Basu, Michael Camilleri, W. Frederick Schwenk, Robert A. Rizza

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

To determine if enteral delivery of glucose influences splanchnic glucose metabolism, 10 subjects were studied when glucose was either infused into the duodenum at a rate of 22 μmol·kg-1·min-1 and supplemental glucose given intravenously or when all glucose was infused intravenously while saline was infused intraduodenally. Hormone secretion was inhibited with somatostatin, and glucose (∼8.5 mmol/l) and insulin (∼450 pmol/l) were maintained at constant but elevated levels. Intravenously infused [6,6-2H2]glucose was used to trace the systemic appearance of intraduodenally infused [3-3H]glucose, whereas UDP-glucose flux (an index of hepatic glycogen synthesis) was measured using the acetaminophen glucuronide method. Despite differences in the route of glucose delivery, glucose production (3.5 ± 1.0 vs. 3.3 ± 1.0 μmol·kg-1·min-1) and glucose disappearance (78.9 ± 5.7 vs. 85.0 ± 7.2 μmol·kg-1·min-1) were comparable on intraduodenal and intravenous study days. Initial splanchnic glucose extraction (17.5 ± 4.4 vs. 14.5 ± 2.9%) and hepatic UDP-glucose flux (9.0 ± 2.0 vs. 10.3 ± 1.5 μmol·kg-1·min-1) also did not differ on the intraduodenal and intravenous study days. These data argue against the existence of an "enteric" factor that directly (i.e., independently of circulating hormone concentrations) enhances splanchnic glucose uptake or hepatic glycogen synthesis in nondiabetic humans.

Original languageEnglish (US)
Pages (from-to)E259-E266
JournalAmerican Journal of Physiology - Endocrinology and Metabolism
Volume283
Issue number2 46-2
DOIs
StatePublished - 2002

Keywords

  • Acetaminophen glucuronide
  • Enteric signal
  • Hepatic glycogen synthesis
  • Postprandial hyperglycemia
  • Splanchnic glucose metabolism

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Physiology
  • Physiology (medical)

Fingerprint Dive into the research topics of 'Effect of enteral vs. parenteral glucose delivery on initial splanchnic glucose uptake in nondiabetic humans'. Together they form a unique fingerprint.

  • Cite this