Type 2 Diabetes Mellitus
Conditions
Keywords
type 2 diabetes mellitus, endogenous insulin
Brief summary
This is an exploratory trial with two cross-over arms investigating pharmacokinetic profiles of endogenous and exogenous insulin in type 2 diabetes mellitus patients treated with continuous subcutaneous Insulin Aspart infusion and combined with or without intravenous glucose infusion. The order of treatment session will be randomised. Hypotheses: 1. Secretion of endogenous insulin depends on exogenous insulin supply 2. Secretion of endogenous insulin is depends on plasma glucose levels
Detailed description
There are a screening visit and two treatment sessions: Session A: Treatment with Insulin Aspart 1.5 IE/time overnight without intravenous glucose infusion Session B: Treatment with Insulin Aspart 1.5 IE/time overnight with intravenous glucose infusion.
Interventions
1.5 IE/hour/subject/visit. Each vist takes 10 hours
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects with type 2 diabetes mellitus * Insulin-naive patients * HbA1C \< 9% * Women and men \>= 35 and \<= 75 years old * BMI 25-42 kg/m2, both values are included
Exclusion criteria
* Suspected or known allergy to the trial drug or similar medications * Treatment with hte drugs that after Investigator judgment could potentially interfere with plasma glucose levels * Heart: Unstable angina pectoris, acute myocardial infarction within the last 12 months * Severe uncontrolled hypertension with blood pressure in lying position \> 180/110 mmHg * Impaired liver function with liver parameters more than 2 times above the upper normal limit according to the local laboratory * Impaired kidney function with eGFR \< 50 ml/min according to the local laboratory * Pregnancy, lactation or desire for pregnancy in the study period and for women in childbearing age without adequate contraception-adequate contraception is: sterilisation, hysterectomy or current use of contraceptive pills, coil, gestagen depot injection, subdermal implantation, hormonal vaginal ring and transdermal depot patch.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pharmacokinetic profiles of endogenous insulin and Insulin Aspart | 10 hours | Pharmacokinetic profiles of endogenous insulin and Insulin Aspart in type 2 diabetes melitus patients treated with continuous subcutaneous Insulin Aspart infusion by insulin pump and combined with or without intravenous supply of glucose |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pharmacodynamic glucose profiles | 10 hours | Pharmacodynamic glucose profiles after treatment with Insulin Aspart administred by insulin pump as a continuous subcutaneous infusion . |
Countries
Denmark