Insulin Resistance, Metabolic Syndrome x
Conditions
Brief summary
The purpose of this study is to evaluate how often patients with hepatitis C infection have abnormalities of sugar and fat utilization. Additionally we would like to find out if these abnormalities of sugar and fat utilization are common in other liver diseases, or related to being overweight.
Interventions
N-acetylcysteine 20% 4ml
N-acetylcysteine 20% in 4 ml
Sponsors
Study design
Eligibility
Inclusion criteria
* Ability to give written consent * HCV RNA PCR positive for 6 months * Normal Hgb, WBC,Neutrophils * Platelets of \>/= 65,000 * Direct Bili, within 20% ULN * Albumin \>3 * Serum Creatinine \<20% ULN * TSH WNL * AFP \</= 100
Exclusion criteria
* Women who are pregnant or breast-feeding * No Thiazolidinedione, Metformin,unless required for the treatment of type II DM * Hepatitis C of non-genotype 1,2,3 * Any other cause for liver disease other than chronic hepatitis C * Hemoglobinopathies * Evidence of advanced liver disease * Previous organ transplant * Severe psychiatric disorder * Significant cardiovascular dysfunction within the past 12 months * Poorly controlled diabetes mellitus * Immunologically mediated disease * Any medical condition requiring chronic systemic administration of steroids * Evidence of an active or suspected cancer * Substance abuse at the time of the study * Known HIV * Irritability or unwillingness to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Those patients who are identified to have insulin resistance will be asked to participate in the treatment phase of the study | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| One half of patients with insulin resistance will undergo 30 day treatment with N-acetylcysteine to see if we can measure an improvement in fasting insulin and glucose levels | 2 years |
Countries
United States