Introduction and Objective: Glucagon-like peptide-1 receptor agonists (GLP-1Ras) utilize multiple mechanisms to achieve their therapeutic effects, resulting in lower blood glucose, weight loss, and improved cardiovascular and renal health (GLP-1RAs). Many of their beneficial metabolic effects occur in the postprandial state. Data from prior randomized controlled trials have linked fasting levels of the circulating proteome […]
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2053-LB: Racial/Ethnic Distribution of People with Diabetes and Diabetes Center Staff—2024 T1D Exchange Quality Improvement Collaborative (T1DX-QI) Survey Results
Introduction and Objective: The T1D Exchange Quality Improvement Collaborative (T1DX-QI), a network of diabetes centers, conducts an annual survey to assess patient demographics, clinic staffing, and learn about centers’ improvement efforts to care for people living with type 1 and type 2 diabetes (PwT1D and PwT2D) and their families.Methods: The annual T1DX-QI survey was administered […]
Read More2166-LB: Impact of Osteocalcin on Glycemic Regulation and Insulin Sensitivity in Type 2 Diabetes Mellitus Patients
Introduction and Objective: Type 2 diabetes mellitus (T2DM) is a worldwide health issue impacting millions of individuals. In recent years, bone has been identified as an endocrine organ that regulates glucose metabolism by the release of osteocalcin, an osteoblast-specific hormone, which affects fat accumulation and blood glucose levels. Osteocalcin has been associated with insulin sensitivity […]
Read More96-OR: Disruption of Leptin Receptor in Choroid Plexus Epithelial Cells Impairs Feeding Regulation and Weight Control
Introduction and Objective: The choroid plexus (ChP), located in each ventricle of the brain, is recognized as a potential site for leptin transport via short- and long-form leptin receptor (LepR). However, knowledge of how LepR in the ChP regulates leptin transport and energy metabolism remains limited. We investigated the role of LepR in Foxj1-expressing ChP […]
Read More2165-LB: Divergent Effects of Acute Hyperinsulinemia on Skeletal Muscle Mitochondrial Respiration in T2D vs. Obesity
Introduction and Objective: Vascular inflexibility, impairments in vascular perfusion in the setting of metabolic demand, associated with T2D may contribute to the muscle mitochondrial dysfunction and metabolic inflexibility. Oxidative flux in response to ATP demand is dependent on the intrinsic properties of the skeletal muscle mitochondria, insulin action, and perfusion for the delivery of oxygen […]
Read More1771-P: Influence of Stressful and Traumatic Life Events and Chronic Stress on Ad-lib Sweet Food Intake and Its Relationship to Obesity
Introduction and Objective: Stressful and traumatic life events and chronic stress are associated with rising rates of obesity, yet research in this area is limited. In this analysis we examine the impact of stressful and traumatic events and chronic stress on food choices in an experimental Food Snack Test (FST) under acute stress-, neutral- and […]
Read More2164-LB: The Blood Glucose–Lowering Effect of a Low-Protein Diet Is Sustainable in Diabetic Lipodystrophic Mice and Is Likely Mediated by a Reduction in Branched-Chain Amino Acids
Introduction and Objective: Long-term low-protein diets (LPD) have been shown to improve metabolic health and extend lifespan in mice, with potential relevance to humans. However, most studies focus on preventive effects, leaving their therapeutic potential for existing metabolic dysfunction underexplored. Previously, we showed that LPD (5.1% kcal from protein) significantly improved postprandial blood glucose (BG) […]
Read More1766-P: Risk–Benefit Data from the International Duodenal Jejunal Bypass Liner (DJBL) Registry
Introduction and Objective: DJBL is a novel endoscopic duodenal jejunal liner device for obesity, both with and without diabetes. We aimed to assess risks vs benefits of DJBL.Methods: In 2017 an independent online registry was established by the Association of British Clinical Diabetologists, to collect of safety and efficacy data worldwide.Results: As of January 2025, […]
Read More2163-LB: Metabolic Fluxomics with Heavy Water Labeling
Introduction and Objective: We introduce a heavy water (2H2 O) labeling technique to measure fluxes across a metabolome. The principle is that metabolic pathways comprise enzymatic reactions that exchange hydrogen between solvent water and covalent C-H bonds.Methods: The number (n) of exchangeable C-H sites is calculated from combinatorial probabilities (isotope ratios) after 2H2 O labeling, […]
Read More945-P: Improved Glycemic Outcomes with the Omnipod 5 AID System in Adults with Type 2 Diabetes (T2D) Previously Using Basal without Bolus Insulin—Subanalysis of the SECURE-T2D Study
Introduction and Objective: The SECURE-T2D pivotal trial recently demonstrated safety and efficacy of the Omnipod® 5 Automated Insulin Delivery (AID) System in adults with insulin-treated T2D. This sub-analysis evaluated outcomes in participants previously using basal without bolus insulin.Methods: This multicenter 305-participant single-arm trial enrolled 63 participants with T2D using basal without bolus insulin (mean age […]
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