Incretin Effect in Lean and Obese Subjects (BMI-INK)
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Purpose
The incretin effect is markedly reduced in patients with type 2 diabetes. Data support the notion that this deficiency is a consequence of the diabetic state. However, the impact of insulin resistance on the incretin effect in obese individuals who uphold a normal glucose tolerance (NGT) despite their insulin resistant state remains to be elucidated. The primary aim of the present study is to evaluate the separate impact of one of the cornerstones of type 2 diabetic pathophysiology, namely insulin resistance, on the incretin effect in lean and obese patients with type 2 diabetes and in two matched normal-glucose tolerant groups of healthy control subjects.
| Condition | Intervention |
|---|---|
|
Incretin Effect Insulin Resistance Type 2 Diabetes |
Other: Oral glucose tolerance test (OGTT) Other: Isoglycemic intravenous glucose infusion |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Cross-Sectional |
| Official Title: | The Impact of Obesity and Insulin Resistance on the Incretin Effect in Patients With Type 2 Diabetes and Healthy Subjects |
- Incretin effect [ Time Frame: 2 days ] [ Designated as safety issue: No ]
- Insulin resistance [ Time Frame: 2 days ] [ Designated as safety issue: No ]
Biospecimen Retention: Samples With DNA
Blood samples
| Enrollment: | 32 |
| Study Start Date: | January 2006 |
| Study Completion Date: | June 2008 |
| Primary Completion Date: | January 2008 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Obese patients with type 2 diabetes
Patients with type 2 diabetes and BMI>33
|
Other: Oral glucose tolerance test (OGTT) Other: Isoglycemic intravenous glucose infusion |
|
Obese subjects with normal glucose tolerance
Subjects with normal glucose tolerance and BMI>33
|
Other: Oral glucose tolerance test (OGTT) Other: Isoglycemic intravenous glucose infusion |
|
Lean subjects with type 2 diabetes
Patients with type 2 diabetes and BM<25
|
Other: Oral glucose tolerance test (OGTT) Other: Isoglycemic intravenous glucose infusion |
|
Lean subjects with normal glucose tolerance
Subjects with normal glucose tolerance and BM<25
|
Other: Oral glucose tolerance test (OGTT) Other: Isoglycemic intravenous glucose infusion |
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Lean and obese patients with type 2 diabetes; and matched healthy control subjects.
Inclusion Criteria:
- Diagnosed with type 2 diabetes for at least 3 months
- Normal blood hemoglobin
- Informed consent
Exclusion Criteria:
- Liver disease
- Diabetic nephropathy
- Treatment with medication that can not be stopped for 12 hours
Contacts and Locations| Denmark | |
| Gentofte Hospital, University of Copenhagen | |
| Hellerup, Copenhagen, Denmark, 2900 | |
| Study Chair: | Tina Vilsbøll, MD DMSc | Department of Internal Medicine F, Gentofte Hospital, University of Copenhagen |
More Information
No publications provided
| Responsible Party: | Dr. Filip K. Knop, MD PhD, University Hospital, Gentofte, Copenhagen |
| ClinicalTrials.gov Identifier: | NCT00803296 History of Changes |
| Other Study ID Numbers: | BMI-INK |
| Study First Received: | December 4, 2008 |
| Last Updated: | January 12, 2010 |
| Health Authority: | Denmark: National Board of Health |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Insulin Resistance Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases |
Hyperinsulinism Incretins Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013