Nutrition, Type 1 Diabetes
Conditions
Keywords
Adolescents, Type 1 diabetes, Higher fiber diet, Glycemic variability
Brief summary
Chronic iron overload represents a significant morbidity in Transfusion dependent β-thalassemia (TDT) leading to various endocrine complications including diabetes. The GLP-1 receptor agonist (GLP-1RA) Dulaglutide has recently been approved for pediatric type 2 diabetes (T2D) treatment. Objectives: to assess the effect of Dulaglutide versus conventional insulin therapy on glycemic metrics, pancreatic reserve, dyslipidemia and ferritin among children and adolescents with TDT related diabetes.
Detailed description
A randomized controlled trial included 80 children and adolescents with TDT related diabetes. Participants were randomly assigned into two groups; the Dulaglutide group received subcutaneous Dulaglutide (0.75 mg weekly); while the insulin group received conventional basal-bolus insulin therapy. Participants were followed-up for 6 months with assessment of fasting blood glucose (FBG), HbA1c, fructosamine, fasting c-peptide, Freestyle libre2 Plus continuous glucose monitoring (CGM), hemolysis markers, serum ferritin, liver enzymes; as well as lipids profile.
Interventions
B-glucan oat flakes
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 1 Diabetes * Adolescents 12-18 years old
Exclusion criteria
* coexisting autoimmune diseases affecting glycemic control (e.g., celiac, autoimmune thyroiditis) * diseases that require dietary restriction (e.g., celiac disease, food allergy, eating disorders) * chronic diabetes complications (e.g., gastroparesis) * and those with other types of diabetes, e.g., type 2 diabetes mellitus (T2D),
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Glycemic control | 6 months | Change in HbA1c |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Glycemic variability | 6 months | Change in coefficient of variation |
Countries
Egypt