Type 2 Diabetes
Conditions
Brief summary
Main objective : Show that treatment with metformin in patients with type 2 diabetes has an effect on alternative splicing of the insulin receptor. Secondary objective : demonstrate that the effect on the ratio A/isoform B isoform with discontinuation of treatment with metformin can be réversé by the resumption of metformin treatment.
Interventions
After inclusion in the study to J0, metformin treatment will be interrupted between J1 and J30, replaced by Januvia 100 mg/day dose, then resumed at J31.
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 2 Diabetic patients usually treated with metformin (≥ 1400 mg/day), associated or not to other oral anti-diabetic treatment or. injection treatment * Patients major. * Patients with a social security number * Patients having signed a consent to participate in the study
Exclusion criteria
* Intolerance metformin * Patients with type 1. * Patients on pioglitazone or rosiglitazone * Renal failure by an anomaly of the creatinine clearance (\< 60 mL/min). * Patients pregnant or likely to be.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of expression of isoforms A and B of the insulin receptor using quantitative RT PCR | inclusion (baseline), 30th days and 60th days | comparison of the A isoform (without inclusion of exon 11) and B isoform (with inclusion of exon 11) ratio of the receptor in insulin, during the first period (without metformin) and the second period (with metformin) |
Countries
France