Type 2 diabetic nephrology
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) type 2 diabetes mellitus 2) age 20 or more, regardless of gender 3) outpatient and inpatient 4) target HbA1c <7.0% is not achieved after approximately 3 months treatment with metformin 5) documented informed consent
Exclusion criteria
Exclusion criteria: 1) GFR <30 30ml/min/1.73m2 or undergoing renal replacement therapy 2) severe ketosis, diabetic coma or pre-come 3) conditions with serious infection, perioperative period, and severe trauma 4) presence/possibility for pregnancy/lactation 5) GOT >100, or GPT >85 6) current treatment with rifampicin, phenytoin, phenobarbital, ritonavir 7) current treatment with digoxin 8) current treatment with probenecid 9) current treatment with insulin 10) chronic or acute urinary tract infection 11) any reason for ineligibility suggested by the attending doctor (history of allergic reaction to study medication; inability to drink sufficient water)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Decrease in night/day ratio of blood pressure during 8 week treatment with SGLT2 inhibitors (week 8) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) increase in daytime urinary sodium excretion (day2) 2) decrease in glomerulotubular Na balance (SNa x GFR, tNa)(week8) 3) constancy of daily urinary Na excretion (week8) 4) sympathetic and parasympathetic nerve activity (assessed by heart rate variability)(day2,week8) 5) HbA1c (week8) 6) urine anion gap, serum bicarbonate concentration (day2,week8) | — |
Countries
Japan
Contacts
Nagoya City University Hospital Clinical Research Management Center