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Liraglutide accelerates colonic transit in people with type 1 diabetes and polyneuropathy: A randomised, double‐blind, placebo‐controlled trial
Open accessAbstract
Background: Glucagon‐like peptide‐1 receptor agonists, such as liraglutide, reduce hyperglycaemia and induce weight loss and are used as a treatment in diabetes. However, common adverse effects include nausea, loss of appetite and prolonged gastric emptying. It is not known whether these changes are centrally generated or if liraglutide alters the enteric motility. Objective: To investigate the effects of liraglutide on gastrointestinal function and symptoms. Methods: A total of 48 adults with type 1 diabetes and confirmed distal symmetric polyneuropathy were randomised to receive liraglutide 1.8 mg/day or placebo for 26 weeks. Regional transit times and motility indexes were assessed with a wireless motility capsule, whereas symptoms were evaluated using the validated gastroparesis cardinal symptom index. Results: Liraglutide treatment reduced large bowel transit time (31.7%, p = 0.04) and decreased motility index (6.1%, p = 0.04) compared to placebo, whereas the groups did not differ in gastric emptying or small‐bowel transit times. Liraglutide increased postprandial fullness with 29% (p = 0.01). Increased small bowel transit time was associated with decreased bloating (p = 0.008). Conclusion: Liraglutide accelerates large bowel transit and decreases motility index, which may indicate better coordination of propulsive motility. This potentially improves the function of the enteric nervous system, leading to normalised colonic function and positive effects in type 1 diabetes.
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In patients with type 1 diabetes, liraglutide reduced colon transit time.
“Also, in patients with type 1 diabetes, liraglutide reduced colon transit time (50).”
From Safety of Semaglutide (2021) · cites this paper as [50]
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Metadata
- Authors
- Langmach Wegeberg, A., Hansen, C. S., Farmer, A. D., Karmisholt, J. S., Drewes, A. M., Jakobsen, P. E., Brock, B., & Brock, C.
- Affiliations
- Mech‐Sense Department of Gastroenterology and Hepatology Aalborg University Hospital Aalborg Denmark
- Capital Region of Denmark (DK)
- Queen Mary University of London (GB)
- Aalborg University Hospital (DK)
- Aarhus University Hospital (DK)
- University of Copenhagen (DK)
- Corresponding author
- Brock, Christina
- ORCID
- Venue
- United European Gastroenterology Journal
- Publisher
- Wiley
- Published
- 2020-07
- Volume
- 8
- Issue
- 6
- Pages
- 695-704
- ISSN
- 2050-6406 (ISSN-L)
- 2050-6414
- PMC
- PMC7437086
- OpenAlex
- W3021395068
- Cited by
- 28
- References
- 7
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 10 · 2023: 2 · 2022: 3 · 2021: 3
- FWCI
- 1.74
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- United European Gastroenterology Journal (publishedVersion)
- PubMed Central (publishedVersion)
- VBN Forskningsportal (Aalborg Universitet) (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, other-oa)
- Funders
- Novo Nordisk
- Aalborg Universitet
- Novo Nordisk Scandinavia AS
- Talent Programme, Aalborg University
- Empowering Industry and Research (EIR), Northern Jutland
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- liraglutide, type 1 diabetes, diabetic polyneuropathy, colonic transit, motility index, GLP-1 receptor agonists, gastrointestinal motility, postprandial fullness, bloating, wireless motility capsule, enteric nervous system
- MeSH terms
- Glucagon-Like Peptide-1 Receptor, Liraglutide, Glucagon-Like Peptide-1 Receptor Agonists, Adult, Appetite, Diabetes Mellitus, Type 1, Diabetic Nephropathies, Double-Blind Method, Female, Gastric Emptying, Gastrointestinal Transit, Humans, Intestine, Small, Male, Middle Aged, Nausea, Placebos, Polyneuropathies, Prospective Studies, Stomach, Treatment Outcome, Enteric Nervous System, Postprandial Period
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