Cytokines, Diabetes, Dyslipidemia, Inflammation
Conditions
Brief summary
The study is planned to show whether combined hypolipemic and antidiabetic therapy with various daily dosages influence the fasting plasma glucose, insulin sensitivity and proinflammatory cytokines in diabetic and dyslipidemic subjects.
Interventions
Patient will take three pill consisting of metformin 1000mg, simvastatin 10mg and fenofibrate 100mg.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age (35-64yr) * Primary hyperlipidemia (Total cholesterol \>200mg/dl, Triglycerides \>150mg/dl) * Type 2 Diabetes * For women: * Menopause (\>12 months) * Post hysterectomy * Mechanical contraception * Obtained informed consent
Exclusion criteria
* Secondary hyperlipidemia * Morbid obesity (BMI\>40kg/m2) * Alcohol or drug abuse * Acute or chronic inflammation * Congestive Heart Failure (NYHA III or IV) * Unstable Ischaemic Heart Disease * Moderate or severe hypertension * Cancer in less than 5 years * Chronic kidney disease (stage III-V) * Liver failure * Oral contraception * Not compliant patient * Laboratory results: * alanine transferase (\>3xULN) * creatine kinase (\>5xULN) * haemoglobin (\<10/dl) * PLT (\<100G/l) * WBC (\<3,5G/l or \>10G/l)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Antiinflammatory effects of combined antidiabetic and hypolipemic treatment | 30 days | As inflammatory effects we measure the difference in serum concentration before and after the treatment of the following proinflammatory cytokines: 1. Interleukin 1 2. TNF alpha 3. Interleukin 6 4. Interleukin 10 5. hsCRP |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Insulin sensitivity | 30 days | Assesed by HOMA (Homeostatic Model of Assessment) |
| Coagulation parameters | 30 days | Assessed using: 1. Fibrinogen 2. PAI-1 |
Countries
Poland