Type 2 diabetes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) The patients with type 2 diabetes, 70 years of age and older 2) The subjects with poorly-controlled diabetes by: 1. diet and exercise only 2. sulfonylureas with diet and exercise 3. thiazolidinediones with diet and exercise 4. biguanides with diet and exercise 5. alpha-glucosidase inhibitors with diet and exercise 6. insulin therapy with diet and exercise 3) more than 8g/day of estimated sodium intake calculated by the following formula: 0.0585X21.98X((urinary sodium concentration/urinary potassium concentration)X(-2.04Xage+ 14.89XBW(kg)+16.14XBH(cm)-2244.45))0.392)
Exclusion criteria
Exclusion criteria: 1) the patients wiht type 1 diabetes 2) the subjects with severe renal dysfunction: more than 2.5mg/dl of serum creatinine in male, more than 2.0mg/dl of serum creatinine in female 3) the subjects who cannot reduce the dosage of sulfonylureas (using more than 2mg/day of glimepiride, 1.25mg/day of glibenclamide, 40mg of gliclazide 4) the subjects during pregnancy or lactation 5) the subjects in active treatment for hypothyroidism 6) the subjects with severe liver dysfunction: more than 100IU/L of AST and ALT level 7) the subjects already enrolled in other clinical trial 8) the subjects found offensive by attending physicians for this research
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| circadian rhythm in blood glucose using CGM change in HbA1c | — |
Secondary
| Measure | Time frame |
|---|---|
| The change in 1) fasting glood glusoce 2) BMI 3) blood pressure 4) urinary sodium concentration 5) serum creatinine 6) plasma glucagon concetration 7) comprehensive geriatric assessment; IADL, Barthel index, MMSE and GDS | — |
Countries
Japan
Contacts
Osaka University Graduate School of Medicine Geriatri Medicine