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Different Insulin Regimens and Postprandial Coagulation Activation

This study has been completed.
Ribe County Hospital
Novo Nordisk A/S
Information provided by:
Hospital of South West Denmark Identifier:
First received: January 20, 2010
Last updated: NA
Last verified: January 2010
History: No changes posted
The purpose of this study in patients with type 2 diabetes was to investigate the acute effect of postprandial blood glucose levels modified by two different insulin treatment regimens on coagulation activation, inflammation and endothelial cell function. The investigators hypothesized that the rapid-acting insulin analogue aspart has a beneficial postprandial effect on coagulation, endothelial dysfunction and inflammation compared with the intermediate-acting insulin NPH due to its ability to lower postprandial glycaemia.

Condition Intervention
Type 2 Diabetes Cardiovascular Risk Hemostasis Inflammation Endothelial Function Dietary Supplement: Standardised meals

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Effects of Standardised Meals on Postprandial Coagulation Activation in Patients With Type 2 Diabetes Treated With Two Different Insulin Regimens

Resource links provided by NLM:

Further study details as provided by Hospital of South West Denmark:

Primary Outcome Measures:
  • Prothrombin fragment 1+2 [ Time Frame: 7.40; 9.30; 11.30; 13.30; 15.30 ]

Secondary Outcome Measures:
  • C-reactive protein [ Time Frame: 7.40; 9.30; 11.30; 13.30; 15.30 ]

Enrollment: 78
Study Start Date: February 2007
Study Completion Date: May 2007
Primary Completion Date: May 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Insulin aspart Dietary Supplement: Standardised meals
Experimental: NPH insulin Dietary Supplement: Standardised meals


Ages Eligible for Study:   30 Years to 75 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • age 30-75 years
  • BMI > 25 kg/m2
  • type 2 diabetes for more than 4 years
  • pharmacological anti-diabetic treatment with insulin NPH at bedtime or insulin aspart at meals for more than 24 months
  • metformin with stable dose >1000 mg/d for more than 12 weeks
  • acetylsalicylic acid (75 mg/d) for more than 2 weeks
  • no other anti-diabetic treatment 3 month previously
  • HbA1c<8.5% at recruitment.

Exclusion Criteria:

  • creatinine > 120 µmol/l
  • ALAT /ASAT > 2.5 x upper reference limit
  • use of anticoagulants within 1 month previously
  • any changes in dose of statins within 1 month previously
  • night work
  • present or planned pregnancy
  • mental sickness or alcohol abuse
  • clinically relevant major organ or systemic illness
  • uncontrolled hypertension >180/110 mmHg
  • steroid treatment
  • known or suspected allergy to trial medications.
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Please refer to this study by its identifier: NCT01053234

Hospital of South West Denmark
Esbjerg, Denmark, 6700
Sponsors and Collaborators
Hospital of South West Denmark
Ribe County Hospital
Novo Nordisk A/S
Principal Investigator: Jeppe Gram, Ph.D Department of Medicine, Hospital of South West Denmark
  More Information

Responsible Party: Chief physician, Ph.D Jeppe Gram, Department of Medicine, Hospital of South West Denmark Identifier: NCT01053234     History of Changes
Other Study ID Numbers: RRS 2006-1032
Study First Received: January 20, 2010
Last Updated: January 20, 2010

Keywords provided by Hospital of South West Denmark:
Type 2 diabetes
Cardiovascular risk markers

Additional relevant MeSH terms:
Diabetes Mellitus, Type 2
Diabetes Mellitus
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Pathologic Processes
Insulin, Globin Zinc
Hypoglycemic Agents
Physiological Effects of Drugs processed this record on August 21, 2017