diabetes mellitus type 2, bile acid metabolism
Conditions
Interventions
Patients will be randomised to either colesevelam treatment or placebo treatment for a period of 12 weeks.
Sponsors
No
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male obese subjects with an impaired glucose tolerance or newly diagnosed type 2 diabetes mellitus (fasting glucose > 6,0 mmol/l); 2. Age 18-55 yr; 3. BMI>30 kg/m2.
Exclusion criteria
Exclusion criteria: 1. Medication known to interfere with glucose metabolism or bowel flora composition; 2. Severe hypertriglyceridemia or any other lipid metabolism disorder; 3. Intensive sports (> three times weekly).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoints are changes in bile acid composition. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints are changes in hepatic and peripheral insulin resistance (assessed by hyperinsulinemic euglycemic clamp at baseline and after 12 weeks), metabolic parameters (lipid profile, glycemic control) as well as changes in faecal microbiota, glucose and lipid content (assessed by analysing faeces samples). Finally, muscle and adipose tissue samples will be obtained to assess D2 mRNA and activity and phosphorylation status of the insulin signalling cascade. | — |
Contacts
Public ContactA. Vrieze
PO Box 22660
Outcome results
None listed