Unique ID issued by UMIN | UMIN000002772 |
---|---|
Receipt number | R000003371 |
Scientific Title | The effects of pioglitazone on postprandial glucose and lipid metabolism and vascular function |
Date of disclosure of the study information | 2009/11/17 |
Last modified on | 2009/11/17 16:29:57 |
The effects of pioglitazone on postprandial glucose and lipid metabolism and vascular function
The effects of pioglitazone on postprandial metabolism and vascular function
The effects of pioglitazone on postprandial glucose and lipid metabolism and vascular function
The effects of pioglitazone on postprandial metabolism and vascular function
Japan |
Diabetes mellitus
Medicine in general | Cardiology | Endocrinology and Metabolism |
Chest surgery |
Others
NO
To evaluate chronic pioglitazone administration on postprandial vascular function and changes in central blood pressure as well as postprandial gulcose and lipid metabolism.
Efficacy
Improvement of postprandial glucose and lipid parameters.
Postprandial changes in arterial stiffness (augmentation index of radial artery) and central blood pressure.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Oral administration of Pioglitazone (30mg) for about six months or more.
30 | years-old | <= |
75 | years-old | >= |
Male and Female
Patients with type 2 diabetes mellitus
Patients with poorly controled type 2 diabetes mellitus
Patients under insulin therapy
Patients with frequent arrythmia
Patients with renal or liver dysfunction
Patients with malignant or collagen disease
25
1st name | |
Middle name | |
Last name | Jun-ichi Funada |
NHO Ehime National Hospital
The department of cardiology
366 Yokogawara, Toon, Ehime 791-0281
089-964-2411
1st name | |
Middle name | |
Last name | Jun-ichi Funada |
NHO Ehime National Hospital
The department of cardiology
366 Yokogawara, Toon, Ehime 791-0281
089-964-2411
NHO Ehime National Hospital, The department of cardiology
Omron Healthcare Co., Ltd.
Profit organization
NO
2009 | Year | 11 | Month | 17 | Day |
Partially published
The part of results were presented at the 73rd annual meeting of Japanese circulation society.
Title
The Effects of Pioglitazone on Postprandial Central Blood Pressure Regulation in Patients with Type 2 Diabetes Mellitus
Abstract
Background: We demonstrated blunted central blood pressure (CBP) response in
postprandial state, possibly relevant to decreased nitric oxide (NO) bioavailability and activated oxidative stress due to insulin resistance, in patients with metabolic syndrome. On the other hand, little is known about the effects of improving insulin sensitivity in vivo on postprandial state.
Methods: 18 consecutive patients with type 2 diabetes mellitus (T2DM) were enrolled this investigation. CBPs were assessed by augmentation index of radial artery using HEM-9000 AI (Omron Healthcare, Kyoto, Japan) during fasting
state, 60 and 120 min after meal intake (Calorie mate 500kcal), and same protocol was repeated 6 months after pioglitazone treatment.
Results: Both HOMA index and total insulin secretion during meal loading were significantly lowered by pioglitazone treatment. The sum of CBPs reduction 60 and 120 min after meal loading was also enlarged from 19 to 33 (P<0.05) by pioglitazone treatment despite no significant change in fasting CBP. The degree of CBP reduction and serum insulin level 120 min after meal loading showed a positive significant relationship (r=0.504, P<0.05) after treatment. Conclusion: Chronic treatment with pioglitazone shows a decline in postprandial CBP levels in T2DM. This indicate the possibility of administrating pioglitazone to suppress atherosclerotic progression by increasing NO bioavailability and diminishing oxidative stress especially in postprandial state.
Enrolling by invitation
2007 | Year | 08 | Month | 01 | Day |
2007 | Year | 08 | Month | 01 | Day |
2010 | Year | 12 | Month | 01 | Day |
2009 | Year | 11 | Month | 17 | Day |
2009 | Year | 11 | Month | 17 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003371