Diabetes Mellitus, Type 1
Conditions
Keywords
Liraglutide, Diabetes Mellitus, Type 1, Atherosclerosis
Brief summary
The aim of the trail is investigate the effect of liraglutide 1.8mg as add-on to insulin for 6 months on carotid intima media thickness and cardiovascular risk factors in subjects with type 1 diabetes mellitus.
Interventions
Application of liraglutide 1.8 mg subcutaneous daily for 6 months to evaluate subclinical atherosclerosis, by means of carotid doppler US, lipid profile in patients with type 1 diabetes mellitus
Sponsors
Study design
Intervention model description
Application of liraglutide 1.8 mg subcutaneous daily for 6 months to evaluate subclinical atherosclerosis, by means of carotid doppler US, lipid profile in patients with type 1 diabetes mellitus
Eligibility
Inclusion criteria
* Age from 15 to 60 years * Patients diagnosed with Type 1 Diabetes Mellitus. * Diabetes duration more than 1 year. * Both genders. * C - peptide less than 0.3 nmol/L
Exclusion criteria
* Patients with type 2 diabetes mellitus, LADA (latent autoimmune diabetes in adults), MODY (maturity-onset diabetes of youth), or other types of diabetes other than type 1 diabetes mellitus. * Pregnant patients or desire to become pregnant in the next 6 months. * Family history of medullary thyroid cancer or multiple endocrine neoplasia 2 * History of pancreatitis * Familial hypercholesterolemia * Use of adjunctive treatment to insulin (SGLT-2 \[sodium-glucose cotransporter-2\] inhibitor, Pramlintide, metformin) * Start of treatment with statins, ezetimibe or PSCK9 (proprotein convertase subtilisin/kexin type 9) inhibitors, amlodipine, metoprolol in the last 6 months before the study. * Bariatric surgery * Use of medications (immunosuppressants, calcineurin inhibitors, mTOR (mammilian target of rapamycin) inhibitors, corticosteroids, aspirin, or anticoagulants) * Metabolic abnormalities (inborn errors of cholesterol storage metabolism, glycogen storage, abetalipoproteinemia, Reye's disease, LCAT (lecithin-cholesterol acyltransferase) deficiency)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To assess the effect of liraglutide on carotid intima media thickness in patients with type 1 diabetes mellitus. | Baseline and 6 months | Change from baseline measure of right carotid intima media thickness with doppler ultrasound at 6 months in patients with type 1 diabetes mellitus who meet inclusion criteria. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To assess the effect of liraglutide on cardiovascular risk factors, cardiometabolic markers (BMI, weight and abdominal circumference) | 0, 1, 2, 3, 4, 5 and 6 months | Somatometry: weight will be measured at baseline and every month until completing 6 months. |
| To assess the effect of liraglutide on cardiovascular risk factors, cardiometabolic markers. Somatometry (BMI, weight and abdominal circumference) | 0, 1, 2, 3, 4, 5 and 6 months | Somatometry: Body mass index will be measured at baseline and every month until completing 6 months. |
| To assess the effect of liraglutide on cardiovascular risk factors, cardiometabolic markers Laboratory studies (total cholesterol, LDL, HDL, triglycerides, non-HDL cholesterol) | 0, 3 and 6 months | Laboratory studies will be taken: complete lipid profile (total cholesterol, LDL, HDL, triglycerides, non-HDL cholesterol) at baseline, 3 and 6 months. |
| To assess the effect of liraglutide on cardiovascular risk factors, cardiometabolic markers Laboratory studies (HbA1c) | 0, 3 and 6 months | Laboratory studies will be taken: HbA1c at baseline, 3 and 6 months. |
| To assess the effect of liraglutide on cardiovascular risk factors, cardiometabolic markers. eGDR (Estimated glucose disposal rate) | 0, 3 and 6 months | Estimated glucose disposal rate will be calculated at baseline, 3 and 6 months. |
Countries
Mexico