Urine Albumin (UAlb), Glycocalyx, Arterial Stiffness
Conditions
Keywords
type 2 diabetes, albuminuria, arterial stiffness, glycocalyx
Brief summary
Patients with Type 2 Diabetes Mellitus and albuminuria will be randomised eitheer to dulaglutide and dapagliflozin combination or DPP-4 inhibitor, as an add-on treatment to metformin. Arterial stiffness, UACR, endothelial glycocalyx and global longitudinal strain will be assesed at baseline, 4 and 12 months.
Detailed description
Patients with Type 2 Diabetes Mellitus and albuminuria will be randomised eitheer to dulaglutide and dapagliflozin combination or DPP-4 inhibitor, as an add-on treatment to metformin. Arterial stiffness via pulse wave velocity (PWV), UACR, endothelial glycocalyx via Microscan camera, and global longitudinal strain via echocardiography will be assesed at baseline, 4 and 12 months after treatment.
Interventions
Combined treatment with dulaglutide and dapagliflozin
DPP-4i treatment as an add-on to metformin
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 2 diabetes mellitus Albuminuria HbA1c: 7-10% eGFR> 60 ml/min
Exclusion criteria
* Type 1 diabetes mellitus Inflammation, chronic or acute Established cardiovascular disease Malignancy within the last 5 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| UACR | 4 and 12 months | UACR change after 4 and 12 months of treatment |
| PWV | 4 and 12 months | PWV change after 4 and 12 months of treatment |
| PBR | 4 and 12 months | PBR change after 4 and 12 months of treatment |
| GLS | 4 and 12 months | GLS change after 4 and 12 months of ttreatment |
Countries
Greece