Objective: To investigate the effects of internal change of plasma glucose and serum insulin levels on serum leptin concentrations during oral glucose tolerance test (OGTT) in normal subjects and type II diabetics (DM).
Methods: Plasma glucose, serum insulin and leptin concentrations were measured simultaneously in 50 age, sex and body mass index matched non-diabetic (non-DM) and 50 DM subjects who were undergoing OGTT.
Results: The fast serum leptin concentrations were (3.88 +/- 0.64) microg/L in DM males and (8.30 +/- 1.06) microg/L in DM females. Respectively they were (5.01 +/- 0.64) microg/L and (10.48 +/- 1.30) microg/L in non-DM group. No significant difference was revealed. Comparing with the non-DM group, the glucose curve was elevated and the insulin releasing curve was characterized by a low response and a delayed peak in DM group. As for the leptin releasing curve, both groups showed a decreasing trend, which seemed to be more evident in DM group.
Conclusion: Leptin concentration does not increase with the release of insulin. On the contrary, it shows a diurnal rhythmic descending trend, suggesting that in vivo, the insulin effect on serum leptin concentration is relatively weak and not able to affect the day-time descending trend of leptin levels.