Type 2 diabetes Nutritional, Metabolic, Endocrine Non-insulin-dependent diabetes mellitus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Men and women 2. Ages 35-60 3. Type 2 diabetes diagnosed 1-10 years prior to recruitment 4. Body mass index (BMI) 30-40 kg/m2 5. C-peptide level > 1 ng/dL 6. Signed written informed consent
Exclusion criteria
Exclusion criteria: 1. HbA1c levels > 6.5% or > 10% at the time of recruitment 2. Creatinine levels > 1.5 mg/dL 3. Ongoing pregnancy, either at the time of recruitment or follow-up 4. Renal failure (ClCr < 50 mL/min) 5. Liver disease 6. Psychiatric disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Remission of type 2 diabetes after metabolic surgery, defined as two categories: complete remission (fasting glucose < 100 mg/dl, normal HbA1c values) and partial remission (fasting glucose 100-125 mg/dl, HbA1c < 6.5%), in both cases in the absence of active pharmacologic treatment, at each time of follow-up (T1 and T2) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Changes in gastrointestinal hormones (ghrelin, insulin, glucagon, GIP, GLP-1, PYY3-36, oxyntomodulin, adiponectin, leptin and GLP-2) using values of area under the curve (AUC), for each bariatric procedure and comparison with a matched control group 2. Analysis of polymorphisms involved in type 2 diabetes and incretin metabolism | — |
Countries
Spain