Evidence mapPaperPMID 38217866Full record

Trial reportThe Journal of clinical endocrinology and metabolism2024

Effects of Exogenous GIP and GLP-2 on Bone Turnover in Individuals With Type 2 Diabetes.

Kirsa Skov-Jeppesen, Charlotte B Christiansen, Laura S Hansen, Johanne A Windeløv, Nora Hedbäck, Lærke S Gasbjerg, Morten Hindsø, Maria S Svane, Sten Madsbad, Jens J Holst and 2 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
  3. Altered GScience advances · 2026
    Article
  4. Article
  5. Review
  6. Recent Updates on Diabetes and Bone.International journal of molecular sciences · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Kirsa Skov-JeppesenDepartment of Biomedical Sciences, University of Copenhagen, DK-2200 Copenhagen, Denmark.ORCID 0000-0002-8861-6699
Charlotte B ChristiansenDepartment of Biomedical Sciences, University of Copenhagen, DK-2200 Copenhagen, Denmark.ORCID 0000-0001-9496-801X
Laura S HansenCenter for Clinical Metabolic Research, Gentofte Hospital, University of Copenhagen, DK-2900 Hellerup, Denmark.
Johanne A WindeløvDepartment of Biomedical Sciences, University of Copenhagen, DK-2200 Copenhagen, Denmark.
Nora HedbäckDepartment of Endocrinology, Hvidovre University Hospital, DK-2650 Hvidovre, Denmark.
Lærke S GasbjergDepartment of Biomedical Sciences, University of Copenhagen, DK-2200 Copenhagen, Denmark.
Morten HindsøDepartment of Endocrinology, Hvidovre University Hospital, DK-2650 Hvidovre, Denmark.
Maria S SvaneDepartment of Endocrinology, Hvidovre University Hospital, DK-2650 Hvidovre, Denmark.ORCID 0000-0002-7345-4471
Sten MadsbadDepartment of Endocrinology, Hvidovre University Hospital, DK-2650 Hvidovre, Denmark.
Jens J HolstDepartment of Biomedical Sciences, University of Copenhagen, DK-2200 Copenhagen, Denmark.ORCID 0000-0001-6853-3805
Mette M RosenkildeDepartment of Biomedical Sciences, University of Copenhagen, DK-2200 Copenhagen, Denmark.
Bolette HartmannDepartment of Biomedical Sciences, University of Copenhagen, DK-2200 Copenhagen, Denmark.ORCID 0000-0001-8509-2036
University of Copenhagen · DKHvidovre Hospital · DK

Funding

Aase og Ejnar Danielsens Fond -10-0467Dagmar Marshalls Fond 500020Danish Diabetes AcademyNovo Nordisk Foundation NNF17SA0031406
6 · The paper itself

Abstract

contextIndividuals with type 2 diabetes (T2D) have an increased risk of bone fractures despite normal or increased bone mineral density. The underlying causes are not well understood but may include disturbances in the gut-bone axis, in which both glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-2 (GLP-2) are regulators of bone turnover. Thus, in healthy fasting participants, both exogenous GIP and GLP-2 acutely reduce bone resorption.

objectiveThe objective of this study was to investigate the acute effects of subcutaneously administered GIP and GLP-2 on bone turnover in individuals with T2D.

methodsWe included 10 men with T2D. Participants met fasting in the morning on 3 separate test days and were injected subcutaneously with GIP, GLP-2, or placebo in a randomized crossover design. Blood samples were drawn at baseline and regularly after injections. Bone turnover was estimated by circulating levels of collagen type 1 C-terminal telopeptide (CTX), procollagen type 1 N-terminal propeptide (P1NP), sclerostin, and PTH.

resultsGIP and GLP-2 significantly reduced CTX to (mean ± SEM) 66 ± 7.8% and 74 ± 5.9% of baseline, respectively, compared with after placebo (P = .001). In addition, P1NP and sclerostin increased acutely after GIP whereas a decrease in P1NP was seen after GLP-2. PTH levels decreased to 67 ± 2.5% of baseline after GLP-2 and to only 86 ± 3.4% after GIP.

conclusionSubcutaneous GIP and GLP-2 affect CTX and P1NP in individuals with T2D to the same extent as previously demonstrated in healthy individuals.

Indexed as

Bone RemodelingCross-Over StudiesDiabetes Mellitus, Type 2Gastric Inhibitory PolypeptideGlucagon-Like Peptide 2AdultAgedBone DensityHumansMaleMiddle AgedGastric Inhibitory PolypeptideGlucagon-Like Peptide 2bone turnoverCTXglucagon-like peptide-2 (GLP-2)glucose-dependent insulinotropic polypeptide (GIP)gut-bone axisP1NP

Identifiers

PMID38217866
PMCPMC11180509
OpenAlexW4390837754

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.