Blood Pressure, Diabete Type 2, Salt; Excess
Conditions
Keywords
Salt sensitivity, Sodium glucose cotransporter 2 inhibitors, Type 2 Diabetes, Blood Pressure
Brief summary
The goal of this interventional study is to test whether sodium-glucose cotransporter 2 inhibitors (SGLT2i) reduce the effects of high dietary sodium intake in patients with type 2 diabetes. Participants will undergo a dietary intervention consisting of a week of high-sodium diet, followed by a week of low-sodium diet. At the end of each week the patients will undergo: * 24-h ambulatory blood pressure measurement; * 24-h urine collection; * bioimpedance analysis for body composition determination; * blood and urine tests. The study will compare patients treated with SGLT2i and patients not treated with SGLT2i to test whether the treatment reduces the effects of high sodium intake on blood pressure, body composition and biochemical variables.
Interventions
Participants will undergo a dietary intervention consisting of a week of high-sodium diet (4800 mg/day), followed by a week of low-sodium diet (1200 mg/day).
Sponsors
Study design
Eligibility
Inclusion criteria
* age 18-65 years; * both males and females; * type 2 diabetes.
Exclusion criteria
* type 1 diabetes; * insulin treatment; * uncontrolled hypertension (SBP \> 160 mmHg and/or DBP \>95 mmHg); * pregnancy; * other acute or chronic conditions influencing blood pressure and glucose metabolism.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 24-hour Blood Pressure | 2 weeks | Systolic and diastolic blood pressure will be measured by 24-h ambulatory blood pressure monitoring |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sodium excretion | 2 weeks | 24-hour sodium excretion will be measured by urine collection |
| Hydration state | 2 weeks | Hydration state with extra- and intracellular water estimation will be measured by bioimpedance |
Countries
Italy