Type 2 diabetes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Outpatient 2.Patients with intensive insulin therapy 3.HbA1c =>6.5%(JDS). 4.Patients with type 2 diabetes mellitus. 5.No change in therapy with oral antidiabetes agent at least 2 months 6.Age =>20 years 7.Informed consent obtained.
Exclusion criteria
Exclusion criteria: 1.Type 1 diabetes mellitus 2.Impaired renal function [serum-creatinine; =>1.5mg/dL(male), =>1.3mg/dL(female) or eGFR<30mL/min] 3.Severe liver dysfunction [AST, ALT=>3 fold above ULN] 4.Patients who are disqualified from the study by investigator for any reasons.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HbA1c level after 6 months of treatment (amount and rate of change) | — |
Secondary
| Measure | Time frame |
|---|---|
| Amount and rate of change of items and these AUC after test meal(serum glucose, CPR, intact proinsulin, glucagon, FFA, Active GLP-1, Total GIP, TG) Amount and rate of change after 6 months of treatment(abdominal girth, daily profile of serum glucose by SMBG, Patients QOL questionnaire, Bio-markers for oxidant stress (8-isoprostane, 8-OHdG)) Amount and rate of change after 1, 2, 3, 4, 5, 6 months of treatment(Blood pressure, Body weight, HbA1c, GA, 1,5-AG, CPR, amount and frequency of insulin treatment, rate of hypoglycemic episodes) | — |
Countries
Japan
Contacts
Keio University , School of Mecidicine Department of Internal Medicine