Diabetes Mellitus, Type 2
Conditions
Brief summary
The purpose of this study is to investigate and evaluate the effects of different oral antihyperglycaemic agents combined with short-term continuous subcutaneous insulin infusion(CSII)(1.CSII alone; 2.metformin and pioglitazone combined with CSII; 3. sitagliptin combined with CSII) on long-term glycemic control and β-cell function in newly diagnosed type 2 diabetic patients.
Interventions
continuous subcutaneous insulin infusion for 2\ 4 weeks
CSII for 2\ 4 weeks combined with metformin 1.5g/d and pioglitazone 30mg/d for 3 months.
CSII for 2\ 4 weeks combined with sitagliptin 100mg/d for 3 months
Sponsors
Study design
Eligibility
Inclusion criteria
* newly diagnosed type 2 diabetes * fasting blood glucose (FBG) level ranging from 7.0~16.7 mmol/L * body mass index (BMI) ranging from21~35kg/m2 * Antihyperglycaemic and antihyperlipidemic medication-naive patients
Exclusion criteria
* having any severe acute or chronic diabetic complications * renal dysfunction, blood creatinine≥150µmol/L * blood aminotransferase level rising up(more than 2 times of the upper normal limit of ALT) * • Any severe cardiac disease including congestive cardiac failure, unstable angina or myocardial infarct in 12 months * chronic or acute pancreatic disease * severe systematic diseases or malignant tumor * female patients incline to be pregnant * being treated with corticosteroid, immunosuppressing drugs or cytotoxic drugs * poor compliance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| proportions of 1 year remission of type 2 diabetes | 1 years | the remission rate after short intensive therapy in newly diagnosed type 2 diabetic patients |
Secondary
| Measure | Time frame |
|---|---|
| the effects of different interventions on β-cell function in newly-diagnosed type 2 diabetic patients | 1 years |