Sex differences in exogenous glucose oxidation are attenuated by obesity: insights from a [U- <sup>13</sup> C <sub>6</sub> ]glucose home breath test

]glucose breath test during a 3-h OGTT, we show that normal-weight females oxidize a greater proportion of ingested glucose than males despite similar blood glucose and insulin responses. This sex difference is attenuated in obesity, which reduces overall glucose oxidation. These findings reveal sex-specific regulation of postprandial glucose metabolism not captured by conventional OGTT metrics and highlight breath testing as a sensitive, noninvasive approach for assessing glucose metabolism outside the laboratory.

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Publication Details

Journal
American Journal of Physiology-Endocrinology and Metabolism
Published
2026-04-02
DOI
https://doi.org/10.1152/ajpendo.00576.2025
Primary Topic
Hyperglycemia and glycemic control in critically ill and hospitalized patients
Type
article
Field-Weighted Citation Impact
0.00

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article

Sex differences in exogenous glucose oxidation are attenuated by obesity: insights from a [U- 13 C 6 ]glucose home breath test

Daniel W. D. West, Jenna B. Gillen, Stephanie Estafanos, Anessa Koussiouris et al.
American Journal of Physiology-Endocrinology and Metabolism
Hyperglycemia and glycemic control in critically ill and hospitalized patients
article

Sex differences in exogenous glucose oxidation are attenuated by obesity: insights from a [U- 13 C 6 ]glucose home breath test

Daniel W. D. West, Jenna B. Gillen, Stephanie Estafanos, Anessa Koussiouris, Daniel Moore
article en

Abstract

]glucose breath test during a 3-h OGTT, we show that normal-weight females oxidize a greater proportion of ingested glucose than males despite similar blood glucose and insulin responses. This sex difference is attenuated in obesity, which reduces overall glucose oxidation. These findings reveal sex-specific regulation of postprandial glucose metabolism not captured by conventional OGTT metrics and highlight breath testing as a sensitive, noninvasive approach for assessing glucose metabolism outside the laboratory.

American Journal of Physiology-Endocrinology and MetabolismVol. 330(5)
University Health Network (CA), University of Toronto (CA), Health Net (US)
Natural Sciences and Engineering Research Council of Canada
No poverty
Openalex Percentile: Top 36%
Hyperglycemia and glycemic control in critically ill and hospitalized patients
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Sex differences in exogenous glucose oxidation are attenuated by obesity: insights from a [U- <sup>13</sup> C <sub>6</sub> ]glucose home breath test — Daniel W. D. West, Jenna B. Gillen, et al. · American Journal of Physiology-Endocrinology and Metabolism (2026) | TGRS Research Map | TGRS