Type 2 Diabetes Suffering from Non-alcoholic Fatty Liver Disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Type 2 diabetes patients 2. Diagnosed fatty liver by sonography 3. Oral administration of metformin 4. Satisfying diagnostic criteria of NAFLD Patients were prospectively assigned to either additional treatment with SGLT-2 inhibitors(n=30) or aggressive conventional treatment (control, n=30) for 6 months.
Exclusion criteria
Exclusion criteria: 1) Type 1 diabetes 2) Severe diabetic complications such as ketoacidosis 3) Severe renal dysfunction(estimated glomerular filtration rate [eGFR] < 30 mL/min/) 4) Pregnant or nursing women and those who might be pregnant 5) Chronic heart failure, 6) Haemodialysis, 7) A history of stroke and cardiovascular events, 8) Any patient whom the investigator judged to be inappropriate for this study. Patients were given detailed explanations of the study protocol.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The change of hepatic steatosis between SGLT-2 inhibitors group(Additional treatment with SGLT-2 inhibitor) and control group (aggressive conventional treatment without SGLT-2 inhibitors) at 24 weeks after starting this trial. | — |
Secondary
| Measure | Time frame |
|---|---|
| The change of visceral fat area The change of body composition The change of endothelial function The change of NAFLD fibrosis score,NAFIC score,FIB-4index and M2BPGi The change of oxidative,apoptosis markers and inflammatory cytokines. These changes will be evaluated at base line, 24 weeks between two groups | — |
Countries
Japan
Contacts
Dokkyo Medical University Endocrinology and Metabolism