Health Condition 1: E116- Type 2 diabetes mellitus with other specified complications
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Post-menopausal women ( duration of menopause > 5years ) and age 2.Patients on diet alone therapy or with other anti-diabetic agents (metformin, alpha-glucosidase inhibitors, DPP4i or insulin) may be used for achieving glycaemic targets. 3. HbA1C 4.Duration of DM > 5 years
Exclusion criteria
Exclusion criteria: 1. Current users of any of the SGLT2i (Cana or Dapa or Empa ) 2. Patients on bone active agents (anti-resrorptives or osteoanabolics) 3. Patients on chronic glucocorticoid therapy ( >3 months) 4. Other drugs (thiazolidinediones, phenytoin, tamoxifen, estrogen, combined OCs) 5. eGFR 6. Contraindication or hypersensitivity to SGLT2i 7. Patients with T1DM, FCPD or known case of secondary diabetes 8. Pregnant or lactating women 9. Premature ovarian insufficiency 10. HbA1C >10% 11. Known case and/or specific features of Cushingââ?¬•s, Addisonââ?¬•s, acromegaly, prolactinoma, uncontrolled hypothyroidism, hyperthyroidism, celiac disease, primary hyperparathyroidism 12. Those unwilling for consent to participate and follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome : To assess changes in bone mineral density following treatment initiation with dapagliflozinTimepoint: Baseline, 3months, 6months, and one year | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To study the effect of dapagliflozin on bone turnover markers 2.To study the effect of dapagliflozin on mineral indices, PTH, 1,25(OH)2D2, FGF23 3.To study the effect of dapagliflozin on HRpQCT parameters 4.To study the effect of dapagliflozin on serum sclerostin 5.To study incident fractures (including verterbral) with dapagliflozin Timepoint: one year | — |
Countries
India
Contacts
PGIMER, Chandigarh