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2011 ADA Posters 1261-2041.indd - Diabetes

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Integrated Physiology/<br />

Obesity<br />

POSTERS<br />

infusion and 30 min GIP infusion (2 pmol/kg/min). The acute insulin response<br />

to glucose (AIRg) and insulin sensitivity (Si) were derived from the Minimal<br />

Model, β-cell sensitivity to glucose (GSIS) was calculated as the slope of<br />

insulin to glucose during the glucose infusion, and GIP-SIS as the increment<br />

in insulin secretion above GSIS during the GIP infusion. Twenty-four subjects<br />

were studied (Table). There were no differences in A1C between treatments,<br />

but BMI was higher in the MET group than D+E (p=0.033) and higher in<br />

women than men (38.4±8.6 vs 28.4±3.4, p=0.001). AIRg, Si, and GIP-SIS did<br />

not differ by treatment, but GSIS was ∼3-fold higher in subjects on MET after<br />

controlling for AIRg and BMI (p=0.044, r2 =0.70). GIP-SIS correlated with AIRg<br />

(p

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