Type 2 Diabetes Mellitus, Overweight, Obesity
Conditions
Keywords
Type 2 diabetes mellitus, Overweight, Obesity
Brief summary
Aim. To assess the effect of interleukin 1β (IL-1β) and tumor necrosis factor α (TNFα) inhibition with diacerein administration on insulin secretion and metabolic control of drug-naïve patients with type 2 diabetes mellitus (T2DM) and overweight or obesity. Hypothesis. Diacerein administration improves insulin secretion and metabolic control of drug-naïve patients with type 2 diabetes mellitus (T2DM) and overweight or obesity. Materials and methods. Design: Randomized, double-blind, placebo-controlled clinical trial. Population: 40 drug-naïve adult patients with T2DM and overweight or obesity. Measurements: A metabolic profile including IL-1β, TNFα, interleukin 6, and fasting insulin levels, as well as, hyperglycemic-hyperinsulinemic clamp technique; to assess the phases of insulin secretion and insulin sensitivity. Intervention for 2 mo: diacerein (50 mg once daily) for the first 15 days and twice daily for 45 additional days or placebo. Statistical analyses: Wilcoxon signed rank and Mann-Whitney U test.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Fasting glucose levels between 7.0 and 11.1 mmol/L * A1C levels between 7 and 9% * Same residential area and socioeconomic status * Excessively sedentary or participated in heavy physical activity * Nonsmokers * Body weight was stable for at least 3 months before the study * Blood pressure was \<130/80 mm Hg
Exclusion criteria
* Personal history of hepatic, renal or coronary artery disease * Medications known to affect metabolism during the previous 6 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fasting insulin concentration | 2 mo |
| Fasting glucose concentration | 2 mo |
| A1C concentration | 2 mo |
| First phase of insulin secretion | 2 mo |
| Late phase of insulin secretion | 2 mo |
| Total insulin secretion concentration | 2 mo |
Countries
Mexico