diabetes mellitus type I. diabetes (mellitus): brittle juvenile-onset ketosis-prone type I
Conditions
Interventions
Intervention 1: Patients in the in intervention group will receive 1000 IU of vitamin D every day for 12 weeks. Intervention 2: placebo will be taken by the control group.
Treatment - Drugs
Placebo
Patients in the in intervention group will receive 1000 IU of vitamin D every day for 12 weeks.
placebo will be taken by the control group.
Sponsors
Daana Pharmaceutical Company
Mazandaran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
5 Years to 20 Years
Inclusion criteria
Inclusion criteria: Inclusion Criteria: - Confirmed Type 1 diabetes mellitus - Age range of 5 to 20 years old - Without vitamin D deficiency (level of 25-hydroxyvitamin D> 30 nmol/L) - With disturbed FMD (2% change in FMD) Exclusion Criteria: - HbA1c = 8% - Hepatic dysfunction or malignancy - Uncontrolled hypertension (>140/90 mmHg)
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Flow mediated dilation of the brachial artery. Timepoint: Initial of the study (Before intervention) and end of the study (After 12 weeks). Method of measurement: FMD measurement in this study will be done based on ACC guideline. The subject is positioned supine for 10 minutes with the arm in a comfortable position. First, anterior-posterior diameter of the right brachial artery is measured 3-5 centimeter above the antecubital fossa by using a Doppler Ultrasound probe and measurement location will be marked on the skin. For the next step, a sphygmomanometric cuff is placed on the forearm below the arterial scan location. The cuff is inflated to at least 250 mm Hg to occlude arterial inflow for 5 minutes. This causes ischemia of downstream resistance vessels. 45 – 60 seconds after cuff dilation, the longitudinal image of the brachial artery is recorded again on the same location as before to measure its anterior-posterior diameter. In the response to increase blood flow after induced ischemia, brachial artery dilates and this dilation depends on arterial endothelium. | — |
Secondary
| Measure | Time frame |
|---|---|
| Fasting blood sugar. Timepoint: Begining of the study (Before the intervention) and End of the study (48 hours after final medicine usage). Method of measurement: Blood samples from all patients will be sent to the laboratory for glucose analysis. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactZahra Mardanshahi
Mazanadaran University of Medical Sciences
Outcome results
None listed