Investigation of Insulin Secretion in Glucose Tolerance Test by the Intake of Novel Imeglimin (Twymeeg)

Author:

BANDO Hiroshi1ORCID,OGAWA Hiroko2,URASAKI Hirohisa3,NAGAHIRO Shinji4,URASAKI Hiroko5,NAKANISHI Miwako2,WATANABE Osami2

Affiliation:

1. Medical Research / Tokushima University, Tokushima, Japan; Yoshinogawa Hospital, Tokushima, Japan; Japan Low Carbohydrate Diet Promotion Association (JLCDPA), Tokushima, Japan

2. Yoshinogawa Hospital, Tokushima, Japan

3. Japan Low Carbohydrate Diet Promotion Association (JLCDPA), Tokushima, Japan; Nankai Hospital, Naruto city, Tokushima, Japan

4. Yoshinogawa Hospital, Tokushima, Japan; Emeritus Professor, Former Director of Tokushima University Hospital, Tokushima, Japan

5. Japan Low Carbohydrate Diet Promotion Association (JLCDPA), Tokushima, Japan

Abstract

Background: Recent pharmacological studies reveal imeglimin (Twymeeg) including dual mechanisms for stimulating insulin secretion and reducing insulin resistance. Case Presentation: The case is a 62-year-old male with type 2 diabetes (T2D). He showed HbA1c 6.4% and started imeglimin. After 5 weeks, a 75g oral glucose tolerance test (75gOGTT) was conducted, and the biomarkers were compared with that of 6 months ago. Insulinogenic index (IGI) 0-30min was stable, but insulin secretion was increased during 30-60min and 60-120min. Discussion: Previous studies of imeglimin revealed improved insulin secretion for GTT. Clinical progress will be followed up with detailed investigation of glucose and insulin variability.

Publisher

Asploro Open Access Publications

Subject

General Medicine

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