Intestinal fructose metabolism triggers a glucagon‐like peptide‐1–β‐cell axis to prevent post‐fructose hyperglycaemia

Oct 23, 2025The Journal of physiology

Sugar processing in the gut activates a hormone and insulin response to prevent high blood sugar after eating fructose

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Abstract

Fructose ingestion for 24 hours increases plasma insulin and GLP-1 levels in mice.

  • Fructose elevates both insulin and GLP-1 levels in lean and obese diabetic mice.
  • The insulin response is dependent on GLP-1, as evidenced by the lack of insulin secretion in proglucagon-deficient mice.
  • Increased insulin is associated with reduced hyperglycaemia after fructose ingestion.
  • Fructose metabolism in intestinal L-cells increases the ATP/ADP ratio, leading to GLP-1 secretion.
  • This gut-derived GLP-1 is essential for enhancing insulin secretion and managing blood sugar levels after fructose intake.

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