Type 2 Diabetes
Conditions
Keywords
GLP-1, Training, Exercise, Type 2 Diabetes
Brief summary
The objective of this study is to investigate the effects of physical training in patients with type 2 diabetes during treatment with the GLP-1 receptor agonist liraglutide (Victoza®) in a 16-weeks double-blinded, randomized placebo-controlled clinical trial. Hypothesis: Physical training leads to better metabolic control in type 2 diabetic patients when training is combined with liraglutide (Victoza®) treatment.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Informed oral and written consent * Diagnosed with type 2 diabetes according to the criteria of the WHO * HbA1C: 7-11% (doing treatment with diet and/or metformin) * Age \>18 years * BMI \>25 kg/m2 \<40 kg/m2 * Negative islet cell antibodies (ICA) and glutamate decarboxylase 65 (GAD- 65) autoantibodies
Exclusion criteria
* Females of child bearing potential who are pregnant, breast-feeding or have intention of becoming pregnant or are not using adequate contraceptive measures. * Subjects treated with sulfonylureas, dipeptidyl peptidase 4 (DPP-4) inhibitors, insulin or glitazones * Ongoing abuse of alcohol or narcotics * Impaired hepatic function (liver transaminases \>2 times upper normal limit) * Impaired renal function (se-creatinine \>150μM and/or albuminuria) * Cardiac problems defined as decompensated heart failure (NYHA class III or IV), unstable angina pectoris and/or myocardial infarction within the last 12 months * Uncontrolled hypertension (systolic blood pressure \>180 mmHg, diastolic blood pressure \>100 mmHg) * Anaemia * Any condition that the investigators feels would interfere with trial participation * Receiving any investigational drug within the last 3 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HbA1c | 16 weeks | Change in HbA1c from baseline to 16 weeks. Glycated haemoglobin (HbA1c) is a form of haemoglobin which is measured primarily to identify the average plasma glucose concentration over prolonged periods of time (12 weeks). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Body weight | 16 weeks | Changes in body weight from baseline to 16 weeks evaluated by a full body DEXA scan |
| Blood pressure | 16 weeks | Changes in blood pressure from baseline to 16 weeks |
| Maximal oxygen uptake (VO2peak) | 16 weeks | Changes in VO2peak from baseline to 16 weeks |
| Meal test | 16 weeks | The changes in the postprandial response of incretin hormones, insulin and glucose, glucagon and the microvascular blood flow will be evaluated. Changes in blood leves of triglycerides and cholesterol. |
| Myocardial echocardiography | 16 weeks | — |
| Glycaemic control | 16 weeks | Changes in overall glycaemic control parameters, insulin sensitivity and beta cell function evaluated by The Homeostasis Model Assessment (HOMA) and incretin hormones response |
Countries
Denmark