type 2 diabetes, obesity
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Insufficient effect of weight loss regardless of 6 month medical therapy. 2. Primary obesity patients aged from 20 to 65 years old. 3. Patients whose BMI levels were higher than 32 kg/m2. 4. Patients whose HbA1c levels were higher than 7.0%. 5. Patients who have diabetes and other obesity related disease; hypertension, liver dysfunction, dyslipidemia.
Exclusion criteria
Exclusion criteria: 1. Diabetes other than type 2 diabetes. 2. Patients who have a disease other than obesity related disease. 3. Patients who have a disease which is associated with the risk of surgery. 4. Patients who have mental disorder. 5. Excessive alcohol drinker. 6. Female patients who are willing to be pregnant and give a birth. 7. Patients who are not willing to lose weight. 8. Patients who are decided to be inadequete for participating this study by physitian in charge. 9. Patients who are decided to have a risk for baritric surgery by physitian in charge.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Insulin secretion before and after intervention. a. OGTT. b. Disposition Index (dual glucose clamp method). 2. Glucagon load test before and after intervention. 3. Pancreas fat before and after intervention. 4. Insulin secretion between two groups. a. OGTT. b. Disposition Index (dual glucose clamp method). 5. Glucagon load test between two groups. 6. Pancreas fat content between two groups. 7. Correlation between fat content and disposition index. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Change of HbA1c levels before and after intervention. 2. Change of fasting glucagon levels before and after intervention. 3. Change of gastrointestinal hormones before and after intervention. 4. Comparison of HbA1c levels between two groups. 5. Comparison of fasting glucagon levels between two groups. 6. Comparison of gastrointestinal hormones between two groups. | — |
Countries
Japan
Contacts
The University of Tokushima Department of Endocrine and Metabolism