Diabetologia

, Volume 19, Issue 2, pp 93–96 | Cite as

The effect of metformin treatment on gastric acid secretion and gastrointestinal hormone levels in normal subjects

  • A. M. Molloy
  • J. Ardill
  • G. H. Tomkin
Originals

Summary

Gastric acid secretion and gastrointestinal hormone levels were measured in healthy non-diabetic subjects after metformin treatment (1.5 g/day). The maximum acid output was increased from 15.7 ±3.9 mmol/h (mean±SEM) to 30.0±7.1 mmol/h (p < 0.05) and the peak acid output was increased from 16.4±4.1 mmol/h to 31.7±7.2 mmol/h (p < 0.05) after two weeks treatment. Serum insulin, gastric inhibitory polypeptide and secretin levels were normal. After treatment for one week, however, there was a significant increase in fasting vasoactive intestinal peptide (VIP) from 83±6 ng/l to 102±9 ng/l (p < 0.02) and in stimulated VIP from 58±5 ng/l to 79±5 ng/l (p < 0.05). Stimulated glucagon-like immunoreactivity (GLI) was also increased from 82±10 ng/l to 174±24 ng/l (p < 0.01) after one week's treatment. It is suggested that metformin acts as a eak histamine agonist.

Key words

Metformin biguanides gastric acid secretion histamine gastrin insulin vasoactive intestinal peptide (VIP) gastric inhibitory polypeptide (GIP) secretin glucagon-like immunoreactivity (GLI) 

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Copyright information

© Springer-Verlag 1980

Authors and Affiliations

  • A. M. Molloy
    • 1
    • 2
    • 3
  • J. Ardill
    • 1
    • 2
  • G. H. Tomkin
    • 1
    • 2
  1. 1.Metabolic UnitAdelaide HospitalDublinIreland
  2. 2.Department of MedicineQueens UniversityBelfastNorthern Ireland
  3. 3.Department of BiochemistryTrinity CollegeDublin 2Ireland

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