Diabetes,Non-alcoholic fatty liver disease
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.patients who were suspected of having fatty liver (standard criteria; ALT>=31 IU/L) 2.patients who don't take oral hypoglycemic drugs except alpha-GI,SU, glinide
Exclusion criteria
Exclusion criteria: 1.cases whose intra hepatic lipid are 5% and under in 1H-MRS (diagnosis criteria of NAFLD) 2.persons who drink alcohol habitually (men >=30g/day,women >=20g/day) 3.cases whose NAS(NAFLD Activity Score) is 5 point and over in liver biopsy (diagnosis criteria of NASH) (However,2 cases with no liver biopsy can't deny NASH.)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The comprehensive analysis which evaluate the association between % suppression of EGP and all assessed indices were performed. (e.g. correlation coefficient of Pearson and Spearman, and single and multiple regression analysis) general items(age,body height,body weight, BMI,body surface area,having diabetes, taking oral hypoglycemic drug) (oral hypoglycemic drug:alpha-GI,SU, glinide) complete blood count(WBC,RBC,Ht,PLT) blood biochemistry(ALT,feritin,high- molecule adiponectin,collagen4,HbA1c, hyaluronic acid,C peptide,cortisol, high-sensitive CRP,urine 8OHdG) hyperinsulinemic-euglycemic clamp (fasting blood glucose,steady state blood glucose,fasting blood insulin,steady state blood insulin,fasting blood insulin times basal endogenous glucose production;basal EGP,steady state glucose infusion rate ;ssGIR,steady state glucose uptake rate ;ssRd,glucose uptake change rate,basal blood free fatty acid,steady state blood free fatty acid,free fatty acid change rate) (basal EGP,ssGIR,ssRd are corrected by lean body weight.) DEXA(fat ratio,lean body weight,whole muscle weight/the square of body height) CT(whole lipid area,visceral fat area, subcutaneous fat area,body circumference) Proton MRS(intramyocellular lipid content,extramyocellular lipid content, intra hepatic lipid) MRI(hepatic fat ratio,liver volume, liver fat volume,lean hepatic volume;all are corrected by body surface area.) QOL content(BDI2,Wellbeing)(research by questionnaire) sleep content(MEQ,pittsburgh,sleep time) (research by questionnaire) exercise content(volume of physical activity,total daily energy expenditure) (measured by medical pedometer) diet (total dietary intake,volume of alcohol intake,carbo,protein and fat intake ratio) (assessed by questionnaire) liver biopsy(fat,intralobular inflammmation,balooning,NAS:NAFLD Activity Score,fibrosis) | — |
Secondary
| Measure | Time frame |
|---|---|
| comprehensive analysis of gene expression (microarray) | — |
Countries
Japan
Contacts
Toho University School of Medicine Division of diabetes,metabolism and endocrinology