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Dr. Veerle Verjans Nefroloog - Orpadt

Dr. Veerle Verjans Nefroloog - Orpadt

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Fysiologie van Incretines<br />

Ingestion of<br />

food<br />

GI tract<br />

Release of<br />

incretin gut<br />

hormones<br />

Active<br />

GLP-1 and GIP<br />

Pancreas<br />

Beta cells<br />

Alpha cells<br />

Glucose dependent<br />

Insulin<br />

from beta cells<br />

(GLP-1 and GIP)<br />

Glucagon<br />

from alpha cells (GLP-<br />

1)<br />

Glucose dependent<br />

Insulin<br />

increases<br />

peripheral<br />

glucose<br />

uptake<br />

Increased insulin and<br />

decreased<br />

glucagon<br />

reduce<br />

hepatic<br />

glucose output<br />

Blood<br />

glucose control<br />

Adapted from Brubaker PL, <strong>Dr</strong>ucker DJ Endocrinology 2004;145:2653–2659; Zander M et al Lancet 2002;359:824–830; Ahrén B Curr Diab Rep 2003;3:365– 20<br />

372; Buse JB et al. In Williams Textbook of Endocrinology. 10th ed. Philadelphia, Saunders, 2003:1427–1483.

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