Aim. The relationship between genetic polymorphisms of the glucagon-like peptide-1 (GLP-1) receptor (GLP1R) gene and unresponsiveness to GLP-1 analogue treatment in patients with poorly controlled type 2 diabetes mellitus (DM) is unclear.Methods. Thirty-six patients with poorly controlled type 2 DM were enrolled and they received six days of continuous subcutaneous insulin infusion for this study. After the normalization of blood glucose in the first 3 days, the patients then received a combination therapy with injections of the GLP-1 analogue, exenatide, for another 3 days. All 13 exons and intron-exon boundaries of theGLP1Rgene were amplified to investigate the association.Results. The short tandem repeat at 8GA/7GA (rs5875654) had complete linkage disequilibrium (LD, withr2=1) with single nucleotide polymorphism (SNP) rs761386. Quantitative trait loci analysis ofGLP1Rgene variation with clinical response of GLP1 analogue showed the missense rs3765467 and rs761386 significantly associated with changes in the standard deviation of plasma glucose (SDPGbaseline-SDPGtreatment with GLP-1 analogue) (P=0.041and 0.019, resp.). The reportedPvalues became insignificant after multiple testing adjustments.Conclusion. The variable response to the GLP-1 analogue was not statistically correlated with polymorphisms of theGLP1Rgene in patients with poorly controlled type 2 DM.
