Diabetes Mellitus - Type 1, Diabetes Mellitus - Type 2, Non-proliferative Diabetic Retinopathy
Conditions
Keywords
diabetes, diabetic retinopathy, nutritional supplements, visual function, macular pigment, macular threshold sensitivity, contrast sensitivity, color vision, optical coherence tomography
Brief summary
This study will evaluate the effects of a novel multi-component dietary supplement on the visual function and retinal structure of patients with diabetes with both no diabetic retinopathy and mild to moderate diabetic retinopathy. This is a placebo-controlled trial and neither subjects nor examiners will know if any given subject is taking active supplement or placebo. The hypothesis is that the supplement will improve visual function and retinal structure in subjects on active supplement
Detailed description
Adult patients with either type 1 or type 2 diabetes will be enrolled with baseline measurement of visual acuity, contrast sensitivity, color vision, threshold macular perimetry, macular pigment optical density, optical coherence tomography, glycosylated hemoglobin, blood lipids and serum vitamin D status. A multi-component dietary supplement containing ingredients currently available over the counter in the US will be taken for six months and repeat measurements of the above parameters obtained.
Interventions
two capsules containing nutritional supplements per day for 6 months (vitamin C, mixed tocopherols/tocotrienols, vitamin D, fish oil, lutein, zeaxanthin, pine bark extract, benfotiamine, green tea extract, curcumin)
placebo capsules
Sponsors
Study design
Eligibility
Inclusion criteria
* diabetes mellitus diagnosed at least 5 years * age greater than or equal to 18 years * English speaker
Exclusion criteria
* proliferative diabetic retinopathy or severe non-proliferative retinopathy * clinically significant macular edema * corrected visual acuity less than 20/30 in either eye * diagnosis of other serious eye disease (glaucoma, age-related maculopathy) * less than 18 years old * non-English speaker * no known allergy or sensitivity to any supplement ingredients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in visual function | At baseline and again at six months | Change in contrast sensitivity, color vision and macular perimetry thresholds |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in serum markers | At baseline and again at six months | Changes in glycosylated hemoglobin, serum lipids, serum vitamin D (all subjects) and the serum inflammatory cytokine, tumor necrosis factor-alpha (subjects with retinopathy) |
| Changes in retinal structure | At baseline and again at 6 months | Changes in optical coherence tomography and macular pigment optical density |
Countries
United States