Type 2 Diabetes
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Morbid obese T2D patient who will undergone RYGB at the Rijnstate in Arnhem (BMI > 35 kg/m2) - Female - Signed informed consent;Mild T2D group o C-peptide > 1.3 nmol/l o T2D diagnosis < 2 years before RYGB o Only metformin usage as anti-diabetic medication;Severe T2D group o C-peptide < 1 nmol/l o T2D diagnosis > 4 years before RYGB o Insulin and/or sulfonylurea (SU) usage
Exclusion criteria
Exclusion criteria: - Fasting glucose 50 kg/m2 - Previous treatment with synthetic Exendin (Exenatide, Byetta®) or Dipeptidyl-Peptidase IV inhibitors - Pregnancy or the wish to become pregnant within 18 months - Breast feeding - Kidney failure, i.e. calculated creatinine clearance below 40ml/min - Age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main parameter of this study is the difference in pancreatic 68Ga-exending uptake before and one year after RYGB in morbid obese patients with T2D. The pancreatic uptake is assessed by quantitative analysis of exendin-PET images. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary parameters are: - the relation between the difference in pancreatic uptake of 68Ga-exendin before and after RYGB and the T2D outcome after RYGB. - the relation between pre-RYGB pancreatic uptake of 68Ga-exendin and post-RYGB T2D outcome. - the correlation between pancreatic uptake of 68Ga-exendin and beta cell function, before and after RYGB. | — |
Countries
Netherlands