diabetic cardiovascular complications
Conditions
Interventions
None listed
Sponsors
Universitair Medisch Centrum Groningen
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: type 2 diabetes mellitus
Exclusion criteria
Exclusion criteria: factors which may affect UKPDS risk engine score or autofluorescence measurement, such as South Asian descent, diffuse skin dsease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The difference in reduction from baseline to the end of the study (one year) in systolic blood pressure and in blood pressure, lipid lowering and anitdiabetic medication between the two arms. Systolic blood pressure has been used for power analysis. | — |
Secondary
| Measure | Time frame |
|---|---|
| -changes over 1 year in HbA1c, LDL-cholesterol; idem for autofluorescence (AGE reader), UKPDS risk score between baseline and one year. - changes in UKPDS score and SAF from baseline to 1 year, compared between the subgroups within the SAF+UKPDS arm, in which CV risk estimated with SAF and that estimated with the UKPDS risk engine is in a higher or lower risk class than that estimated with the UKPDS risk score, compared to the group in whom both risk class estimates are concordant. -differences between the abovementioned concordant and discordant subgroups in target treatment values of blood pressure and lipids used by the treating physician. This will be assessed using a questionnaire -questions about the effect of the availability of skin autofluorescence and of the UKPDS RE values on treatment as perceived by the treating physician using a questionnaire In addition the reduction from baseline to one year in systolic blood pressure, and in blood pressure, lipid lowering and anitdiabetic medication, and in lipid and HbA1c levels will also be compared in an aselected (only age decade and sex disitribution matched) sample of T2DM patients from the same center in whom neither SAF nor UKPDS score has been measured or provided to the treating physician. To avoid potential study participation bias, we propose not to ask for patient consent. The selection wil be made once the general characterisitcs (age and sex distribution) of the randomised patiens are known, so after the 1st inclusion year. Otherwise, similar end point data will be collected as in the randomised participants, except those of the UKPDS score and SAF measurements. The (local) investigators will select these patients from their hospital database, and will regsiter the data in an anonimised manner. | — |
Countries
Netherlands
Outcome results
None listed