Electroretinography
Conditions
Keywords
Retina, Electroretinography, Diabetes Mellitus, Glucose Intolerance, Physiology
Brief summary
The purpose is to investigate the electroretinogram (ERG) in young, healthy men in the normoglycaemic and hyperglycaemic state before and after intervention with corticosteroids treatment, high calorie diet and exercise restraint.
Detailed description
The subjects will be fasting from midnight the day before the experiment. Standard procedures (including pupil dilation, dark adaptation, and local anaesthetics) are carried out to allow the ERG to be obtained. After electrophysiology, the subject will be clamped at a plasma glucose level of 10 mM (\ 180 mg/dL) and after a stabilisation period the ERG protocol is repeated. Each subject is examined twice on two different days. The first day the subjects are normoglycaemic in the morning (first examination) and hyperglycaemic (clamped to 10 mM) throughout the second examination. The second day subjects are also normoglycaemic and hyperglycaemic but shows up after 7-12 days of daily intake of prednisolone, high calorie diet, and exercise restraint.
Interventions
12 days of corticosteroids treatment (prednisolone 37,5 mg/day)
High calorie diet (130 % of recommended daily energy intake) and relative physical inactivity (no exercise and at least 8 hours of rest/day)
Sponsors
Study design
Eligibility
Inclusion criteria
* Caucasians without type 2 diabetes mellitus * Normal OGTT (75 g glucose dissolved in 250 mL water) according to WHO's criteria * BMI 20-30 * Haemoglobin \> 8,0 mM
Exclusion criteria
* Nephropathy (s-creatinin \> 130 µM or albuminuria) * Relatives (parents or sibling with T2DM) * Medical treatment which cannot be paused for 12 hours
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ERG | 12 days | Characteristics of the scotopic ERG at normo-/hyperglycaemia before vs. after prednisolone treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Retinal Vessel Caliber | 12 days | Measurement of retinal vessel caliber from fundus photographs before and after treatment with glucocorticoids. |
Countries
Denmark