Diabetes mellitus
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Type 1 and type 2 diabetes mellitus
Exclusion criteria
Exclusion criteria: 1)Patient without diabetes 2)Impaired glucose tolerance 3)Other types of diabetes mellitus due to specific causes 4)Gestational diabetes mellitus 5)Overt diabetes in pregnancy 6)Patients who are difficult to judge whether to participate in the study 7)Patient judged inappropriate for the doctor in charge
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Nephropathy The first period: consecutive 2 measured albuminuria in patients without microalbuminuria (urinary albumin/ creatinine ratio, 30mg/g Cr or greater) The second period: appearance of overt proteinuria (urinary albumin/ creatinine ratio, 300mg/g Cr or greater), > 2-fold increases in serum creatinine, eGFR 30 ~ 40% reduction, or initiation of dialysis in those with microalbuminuria. 2. Retinopathy Development of retinopathy or progression of disease from simple, non-proliferative retinopathy to proliferative retinopathy or blindness. 3. Macroangiopathy Ischemic heart disease (e.g. cardiac revascularization, myocardial infraction), heart failure requiring hospitalization, cerebrovascular disease (e.g. cerebral hemorrhage or cerebral infarction requiring hospitalization) except transient cerebral ischemic attack. Lower extremity amputation, peripheral revascularization. 4. Malignancy Mortality from malignant tumor (hepatocellular carcinoma, pancreatic carcinoma, colorectal cancer etc.) 5. Mild cognitive impairment Appearance of mild cognitive impairment (MOCA-J score of 25 or less) 6.Sarcopenia Appearance of sarcopenia (AGWS: Diagnostic criteria for sarcopenia in Asians) 7. Decline in ADL DASC8 (Category 1: 10 points or less, Category 2: 11-16 points, Category 3: 17 points or more) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.all-cause mortality 2.complication retinopathy: photocoagulation, vitreous surgery, blindness neuropathy: ulcer or gangrene malignancy: incidence of malignancy 3.medical expenses | — |
Countries
Japan
Contacts
The Institute of Medical Science, Asahi Life Foundation Division of Diabetes and Metabolism