Diabetes Mellitus type 2 (DM type II)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Type 2 diabetic patients 2. Diagnosis of type 2 diabetes according to WHO criteria for more than 6 months 3. Age >18 4. Hospitalised patients, patients in nursing homes or home-care patients 5. HbA1c between 6.1%-10,5% (including 6,1% and 10.5%) 6. 18 kg/m2 ¡Ü BMI ¡Ü 35 kg/m2 7. Indication for tube feeding for at least 6 weeks 8. Functioning GI tract, eligible for tube feeding 9. Nutrition via PEG or nasogastric tube 10. Willing to comply with the study protocol 11. Signed informed consent
Exclusion criteria
Exclusion criteria: 1. Any gastrointestinal disease that interferes with bowel function and nutritional intake (i.e. diabetes related constipation/diarrhea secondary to neuropathy, diarrhea due to chronic inflammatory bowel disease, gastroparesis, gastrectomy) 2. Concomitant intake of parenteral nutrition or other clinical enteral nutrition 3. Significant heart (NYHA class IV), hepatic (transaminase more than 3 times normal) or renal disease (requiring dialysis) 4. Concomitant therapy with acarbose 5. Concomitant therapy with systemic glucocorticoids or within 2 weeks prior to study entry 6. Nutrition via any tube that has to be placed into the jejunum 7. Galactosaemia 8. Alcohol abuse 9. Investigator's uncertainty about the willingness or ability of the patient to comply with the protocol requirements 10. Participation in other studies within 4 weeks of study entry
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HbA1c | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Fasting plasma glucose 2. Fasting plasma insulin 3. Fructosamine 4. Fasting plasma lipid profile: Triglycerides, Total cholesterol, LDL, HDL 5. Fasting free fatty acids (FFA) 6. Total daily insulin requirement 7. Insulin sensitivity by HOMA-IR 8. Incidence of skin, pulmonary and urinary tract infections 9. Fasting (hs) CRP 10. Fasting pro-inflammatory cytokines: IL-6, IL-8, IL-18, and TNF-¨¢ 11. Fasting plasminogen activator inhibitor-1 activity (PAI-1) 12. Blood pressure 13. Tolerance | — |
Contacts
Numico Research B.V. P.O. Box 75538