Diabetes, Hypoglycemia
Conditions
Keywords
DPP-4, GLP-1, Glucagon, Catecholamines, Counterregulation, Type 1 diabetes
Brief summary
The study examines whether DPP-4 inhibition by vildagliptin affects the glucagon counterregulatory response to hypoglycemia in type 1 diabetes.
Detailed description
Vildagliptin (50 mg BID) or placebo is given as add-on to insulin treatment for four weeks in patients with type 1 diabetes. Then, a hypoglycemic clamp (2.5 mmol/l glucose) is undertaken with the determination of glucagon.
Interventions
Vildagliptin (50 mg BID) in four weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 1 diabetes * Age \>18 years * HbA1c 6.5-8,5%
Exclusion criteria
* Pregnancy * Lactation * Acute infection * Liver disease * Treatment with cortisol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Glucagon response to hypoglycemia | 45 min | Change in glucagon from before hypoglycemic clamp until after 45 min |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Catecholamine response to hypoglycemic | 45 min | Change in catecholamines from before hypolycemic clamp to 45 min |
Countries
Sweden