Diabetic nephropathy E11
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - men and women capable of consent, age 50-75 years, - subjects with diabetes mellitus Typ 2 and already documented increased albuminuria (albuminuria >=20mg/l or >=20 mg/g urine-creatinine for men and >=30 mg/g Urine-creatinine for women) in two consecutive spontaneous urinalysis, - eGFR>30 ml/min/173cm² (CKD-EPI Formula), - diabetes duration min. 1 year, - diabetes therapy with oral antidiabetic drugs, Insulin and/or diet, - BMI 23-40kg/m².
Exclusion criteria
Exclusion criteria: - incapability of consent, - secondary form of diabetes (ADA-criteria type 3 B-H), - acute infection/fever, - immunosuppressive therapy, - severe diseases of heart, kidney or liver: -- NYHA stage IV -- not-diabetic liver diseases -- severe peripheral arterial disease -- not-diabetic nephropathy - alcohol abuse or other drugs, - tumor diseases in the last 5 years, - Hepatitis B, C, E, HIV infection, - autoimmune diseases under immunsuppressive therapy, - participation in other intervention studies, - anemia or hematological diseases, - other causes of neuropathy or polyneuropathy (autoimmune, alcohol- induced, vitamin-B12-defficiency neuropathy, collagenosis), - exclusion criteria for the pulmonary function tests, - food allergies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint is the diabetic nephropathy. This will be evaluted by the change of albuminuria. Albuminuria will be measured at baseline, after 3 months and after 6 months using a quantitative method for the albumin concentration in urine. | — |
Secondary
| Measure | Time frame |
|---|---|
| Composite endpoint score of diabetic late complications Cellular resistance against dicarbonyl stress after 1 month diet intervention with fasting-mimicking diet and after glucose load with oral 75 g glucose intake | — |
Countries
Germany
Contacts
Universitätsklinikum Heidelberg