Health Condition 1: E11- Type 2 diabetes mellitus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients will be included only if they satisfy all the 3 inclusion criteria : 1-Type 2 Diabetes Mellitus patients aged more than 18 years and duration of diabetes less than 5 years. 2-Blood Glycated hemoglobin A1c(HbA1c) levels between 6.5% to 10%, on a stable dose of metformin and/or sulfonylureas over last 8 weeks. 3-Grade II or greater Fatty infiltration on abdominal ultrasound.
Exclusion criteria
Exclusion criteria: 1.Type 2 Diabetes Mellitus patients with poor glycemic control (Blood Glycated hemoglobin(HbA1c) more than 10%) or repeated history of Diabetic Ketoacidosis or Hyperglycemic Hyperosmolar State. 2.Patients requiring insulin due to ppor glycemic control or any serious illness. 3.Patients needing any rescue oral hypoglycemic therapy, other than metformin, sulfonylureas and dapagliflozin to achieve glycemic targets as per American Diabetes Association Guidelines. 4.Pregnant women, lactating women, women planning for pregnancy and gestational diabetes 5.Patients with estimated Glomerular Filteration rate less than 30 ml/min 6.Alcohol consumption more than 20 g per day for women or 30 g per day for men 7.Serology positive for HbSAg, HCV infection. 8.Serum ferritin more than 300ng/ml 9.Serum Ceruloplasmin less than 14ng/ml 10.Serum ANA positivity 11.Child-Pugh class B/C liver cirrhosis 12.Confounding concomitant drug use (including insulin, incretin mimetics, thiazolidinediones, vitamin E, UDCA)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.To study the effect of Dapagliflozin 10 mg for 6 months, in patients of NAFLD with T2DM on liver fat signal fraction and fibrosis scores 2.To study the effect of Dapagliflozin 10 mg for 6 months, in patients of NAFLD with T2DM on body fat mass and anthropometric parameters 3.To study the effect of Dapagliflozin 10 mg for 6 months, in patients of NAFLD with T2DM on HOMA-IR and Adiponectin levels Timepoint: At baseline and at 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Effect of Dapagliflozin 10 mg in patients of Type 2 Diabetes and Non-Alcoholic Fatty Liver Disease on HOMA-IR and serum Adiponectin levels Timepoint: 6 months | — |
Countries
India
Contacts
MKCGMCH