Diabetes Mellitus, Non-Insulin-Dependent
Conditions
Brief summary
The purpose of this study is to analyze the differences of blood sugar level and glycemic variability between sulfonylurea and DPP-4 inhibitor groups applying CGMS for a chosen number of type 2 DM patients. The investigators also reveal influences of each drugs on cardiovascular risk factors by measuring related biomarkers.
Detailed description
We enroll patients with type 2 DM with uncontrolled glucose level on Metformin monotherapy over 1000mg /day (HbA1C over 7%). Before drug administration, we conduct basal lab study including CGMS. After 3 month of random administration of vildagliptin or glimepiride, we check CGMS, glucose levels, CV biomarkers, and estimate hypoglycemic index. We replace with the other drug for 3 months, and then conduct the same measurements. No wash-out period is necessary since result variables are measured after the 3 months of administration for a different drug.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* with type 2 DM * with uncontrolled glucose level on Metformin monotherapy over 1000mg /day (HbA1C over 7%). Provided that the tolerance for metformin is poor, enrollment of patients with lower dose of metfomrin is open. * who have never been prescribed with test drugs, sulfonylurea or DPP-4 inhibitor/GLP-1 analogue in 3 months * who can be applied with CGMS
Exclusion criteria
* who has liver function abnormality or renal function abnormality * who has any kind of diseases, operations, medical treatments that can affect glucose levels
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Glycemic variability index | before and after 3 months of each drug administration |
| Cardiovascular disease risk factor | before and after 3 months of each drug administration |
Secondary
| Measure | Time frame |
|---|---|
| glucose profile and lipid profile | before and after 3 months of each drug administration |
| hypoglycemic index | before and after 3 months of each drug administration |
Countries
South Korea