Topic: Diabetes Research Network, Metabolic and Endocrine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Type 2 diabetes duration less than 15 years 2. On treatment with diet alone or diet plus oral agents 3. BMI 35-45m/kg2 4. Listed for gastric bypass surgery 5. HbA1c < 10%
Exclusion criteria
Exclusion criteria: 1. Waist circumference >150cm 2. Kidney dysfunction (serum creatinine >150 µmol/l) 3. Liver dysfunction (serum ALT > 2.5 times the upper limit of normal) 4. Contraindications to MRI (metal implants and claustrophobia) 5. Alcohol consumption >14 units per week 6. Treatment with thiazolidinediones, insulin, GLP1 analogues or steroids 7. History of bowel surgery or inflammatory bowel disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| First phase insulin response at baseline, 1 week after intervention and 8 weeks after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Liver fat and hepatic insulin sensitivity at baseline, 1 week after intervention and 8 weeks after surgery 2. The treatment induced changes in pancreatic fat content at baseline, 1 week after intervention and 8 weeks after surgery | — |
Countries
United Kingdom