Unique ID issued by UMIN | UMIN000014171 |
---|---|
Receipt number | R000016505 |
Scientific Title | Introduction of indices of clinical insulin resistance / sensitivity under significant urinary glucose excretion |
Date of disclosure of the study information | 2014/07/15 |
Last modified on | 2018/06/07 09:29:06 |
Introduction of indices of clinical insulin resistance / sensitivity under significant urinary glucose excretion
indices of insulin sensitivity under using SGLT-2 inhibitors (ISUUSI)
Introduction of indices of clinical insulin resistance / sensitivity under significant urinary glucose excretion
indices of insulin sensitivity under using SGLT-2 inhibitors (ISUUSI)
Japan |
diabetes mellitus
Endocrinology and Metabolism |
Others
NO
OGTT (oral glucose tolerance test) will be appled to subjects with type 2 dibetes mellitus who are using SGLT-2 inhibitors. The data obtained during OGTT is used to assess insulin sensitivity and insulin resistance.
Others
Urine excretion during OGTT
change of HOMA-beta or insulinogenic index (if any)
Exploratory
Explanatory
Not applicable
Changes of muscle insulin sensitivity and liver insulin resistance (should be consistant to the effect of SGLT-2 inhibitors, when compared with previous studies)
1)Exsitence of difference between the new indices and HOMA-IR or Matsuda index without considering urine glucose excretion
2)Consistence of beta cell function measured by HOMA-beta or insulinogenic inex
3)Any changes in the disposition index
4)Existance of urinary glucose excretion after terminatio of SGLT-2 inhibitors
Observational
20 | years-old | <= |
80 | years-old | > |
Male and Female
Subjects should be type 2 diabetic patients who have stable glycemic control for more than 2 months, and their HbA1c should be less than 8.0 %. Subjects who are taking pioglitazone or metformin or DPP-4 inhibitors will be also enrolled.
1) Under the treatment with insulin
2) Type 1 diabetic subjects or diabetic subjects who have HbA1c more than or equal to 8.0 % or who need admission because of diabetic ketoacidosis or extreme hyperglycemia.
3) Subjects who are treated with sulfonylureas (i.e. glibenclamide, glimepiride, or gliclazide).
4) Subjects with nephrotic syndrome (urine protein more than or equal to 3.5g/day and serum protein less than or equal to 6.0 g/dl [or serum albumin less than or equal to 3.0 g/dl].
5) Subjects who are taking steroids, immune suppression medication, antifungal medication of azoles. HIV protease inhibitors
6) Subjects who had brain stroke or acute coronary syndrome within 6 months before enrollment.
7) Subjects with severe heart failure (NYHA class 3 or higher), severe arrhythmia (frequent atrial or ventral arrhythmia, continuous ventricular tachycardia, severe atrial tachycardia, atrial fibrillation or flutter with severe tachycardia, sick sinus syndrome or atrial-ventral block with severe bradycardia).
8) Subjects who have AST or ALT more than 5 times of upper normal limit of their institute
9) Subjects with malignancy
10) Subjects who are pregnant or who have intention to be pregnant
11) Subjects with other situations under which a doctor in charge decides that subjects are not eligible for this study.
20
1st name | |
Middle name | |
Last name | Masafumi Matsuda |
Saitama Medical Center, Saitama Medical University
Department of Endocrinology and Diabetes
1981 Kamoda, Kawagoe-shi, Saitama-ken
049-228-3564
matsudam-ind@umin.ac.jp
1st name | |
Middle name | |
Last name | Masafumi Matsuda |
Saitama Medical Center, Saitama Medical University
Department of Endocrinology and Diabetes
1981 Kamoda, Kawagoe-shi, Saitama-ken
049-228-3564
matsudam-ind@umin.ac.jp
Department of Endocrinology and Diabetes
Saitama Medical Center, Saitama Medical University
Department of Endocrinology and Diabetes
Saitama Medical Center, Saitama Medical University
Self funding
NO
埼玉医科大学総合医療センター
内分泌・糖尿病内科
2014 | Year | 07 | Month | 15 | Day |
Unpublished
Terminated
2014 | Year | 06 | Month | 15 | Day |
2014 | Year | 07 | Month | 15 | Day |
Insulin sensitivity will be examined by condcting OGTT before and after the use of an SGLT2 inhibitor.
Due to the problem of assay of glucagon this study has not been initiated.
2014 | Year | 06 | Month | 05 | Day |
2018 | Year | 06 | Month | 07 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016505