Diabetes, Insulin Resistance, Obese, Overweight
Conditions
Keywords
observational study
Brief summary
Type 2 diabetes is tightly associated with overweight and obesity. Inflammatory processes are crucial triggers for insulin resistance that paves the way to type 2 diabetes. In a previous study the investigators have shown that n-3 polyunsaturated fatty acids diminish adipose tissue inflammation in morbidly obese non-diabetic subjects. in this observational study the investigators will apply n-3 polyunsaturated fatty acids as addition to a protein-enriched diet with low glycemic index to overweight and obese patients with insulin resistance, prediabetes and manifest type 2 diabetes over up to 6 months. Primary efficacy parameters are changes from baseline in HbA1c and body weight for for type 2 diabetes and all other patients, respectively.
Interventions
3 g per day n-3 polyunsaturated fatty acids in a protein-enriched low-GI diet
Sponsors
Study design
Eligibility
Inclusion criteria
* overweight or obesity AND * insulin resistant OR pre-diabetes OR type 2 diabetes
Exclusion criteria
* changes in anti-diabetic medication in the lat two months * acute illness during the last two weeks * HIV infection * hepatitis of other clinically significant hepatic disease other than non-alcoholic hepatic steatosis * severe or insufficiently treated cardiovascular, renal (GFR-MDRD \< 60 ml/min) or pulmonary disease * Macroproteinuria (\> 300 mg/g creatinine) * clinically significant or insufficiently treated thyroid disease * anemia * active malignant disease * inborn or acquired coagulopathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HbA1c change from baseline (type 2 diabetes patients) | 3 months |
| body weight change from baseline (non-diabetic patients) | 3 months |
Secondary
| Measure | Time frame |
|---|---|
| change from baseline of inflammatory and metabolic parameters | 3 months |
Countries
Austria