Type 2 Diabetes Mellitus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age > 20 years 2. On metformin 2g per day or the maximum tolerable dose for the patient. 3. Any one of the following indicators of poor glycaemic control • HbA1C > 8% in last clinic visit or • FBS > 150 mg/dl in each visit for the last three months or • RBS > 200 mg/dl in each visit for the last three months
Exclusion criteria
Exclusion criteria: 1. Pregnant women 2. Patients on oral hypoglycemic agents other than metformin 3. Patients with cardiovascular diseases like ischemic heart disease, heart failure, and arrhythmia. 4. Patients with cerebrovascular accidents 5. Patients with stage 4,5 renal disease 6. Patients with acute illnesses 7. Patients already on drugs to modify the vascular risk factors, • anti-platelets • anti anginals • lipid lowering drugs • folic acid • anti-inflammatory drugs • anticoagulants
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Glycemic control (Fasting Blood Glucose, HbA1C) 2. Insulin resistance (Fasting Insulin and fasting blood glucose. Insulin resistance will be calculated by HOMA-IR method). 3. Serum fibrinogen level 4. Lipid profile 5. High sensitivity C reactive protein (Hs CRP) 6. Serum homocystein 7. Serum creatinine 8. eGFR 9. Serum alanine and aspartate transaminase 10. Serum amylase [At baseline and at the end of 3 months] | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood pressure [Baseline and monthly for 3 months] | — |
Countries
Sri Lanka
Contacts
Lecturer (Probationary)