Type 2 Diabetes Mellitus
Conditions
Brief summary
Insulin deficiency resulted from progressive beta cell failure and insulin resistance in type 2 diabetes requires exogenous insulin therapy, escaping from oral antihyperglycemic agents. Previous data have been suggested that continuous subcutaneous insulin infusion (CSII) does not only have efficacy in glucose control but also restore beta cell failure. The investigators plan to compare the efficacy/safety and beta cell function between insulin pump treatment and the intensification of conventional treatment in patients with uncontrolled type 2 diabetes.
Interventions
stop any antihyperglycemic medication and convert to insulin pump
intensification of conventional treatment by adding oral antihyperglycemic agents or subcutaneous insulin (once / twice/ multiple injection)
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 2 diabetes * age: 18 \ 85 yrs * HbA1c: \> 7.5% * no change of anti-diabetic medication within 3 months
Exclusion criteria
* systemic corticosteroid administered within previous 6 months * pregnancy * severe liver or renal disease, heart failure * History of cancer within 5 years * Thyroid disease * Anti-obesity drugs or slimming products within previous 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| change of HbA1c | 24 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| changes of body weight | 24 weeks | — |
| frequency of hypoglycemia | 24 weeks | severe hypoglycemia : glucose \<40 mg/dl mild hypoglycemia : glucose 40 - 70 mg/dl |
| change of beta cell function | 24 weeks | insulin secretion-sensitivity index-2 = insulinogenic index x Matsuda index |
| Percent of patients who reach target goal of HbA1c (<7.0%) | 24 weeks | — |
Countries
South Korea