Dulaglutide in Diabetic Patients, Relationship Between Arterial Stiffness, Endothelial Function, Clinical and Laboratory Variables
- Conditions
- Diabetes Mellitus
- Interventions
- Registration Number
- NCT03824002
- Lead Sponsor
- University of Palermo
- Brief Summary
The study aims to evaluate arterial stiffness and endothelial function indexes and their relationship with clinic and laboratory varible in a group of diabetic patients in treatment with dulaglutide
- Detailed Description
46 patients with type 2 diabetes mellitus were recruited at the Internal Medicine with Stroke care ward of the University hospital of Palermo "P. Giaccone" from April 2017 to April 2018. For all patients treatment with dulaglutide was undertaken. As control group were recruited 46 patients from the same ward not affected by diabetes mellitus or affected by diabetes mellitus but not in treatment with dulaglutide.
The study was carried out in accordance with the principles of the Helsinki Declaration revised in 2001 and all patients gave their written consent to take part in this research.
Each patient treated with dulaglutide was compared for age, sex and cardiovascular risk with control patients. The diagnosis of type 2 diabetes mellitus was based on the revised criteria of the American Diabetes Association (ADA), and using a clinical algorithm that considered the age of onset of the disease, the symptoms and weight present, the family history and the therapy practiced. Arterial hypertension was defined according to the 2017 ESC-ESH criteria. Dyslipidemia was defined based on total cholesterol levels\> 200 mg/dl, triglycerides\> 150 mg/dl and HDL levels \<40 mg/dl regardless of the patient's gender.
Among the cases enrolled, 46 (100%) had type 2 diabetes mellitus, 37 (80.43%) had arterial hypertension and 26 (56.52%) hypercholesterolemia.
Clinical and anthropometric data were collected at the time of recruitment. Blood samples were taken from each patient (cases and controls) to determine serum glucose, HbA1c, total cholesterol, HDL and LDL cholesterol, triglycerides, creatinine, and a urine sample to assess the presence of microalbuminuria. These withdrawals were then repeated three months and nine months from the time of recruitment.
The digital endothelial function was evaluated through the RHI-pat analysis using Endo-PAT2000. Pulse Wave Velocity (PWV) Carotid-Femoral Pulse was measured in the supine position using an automatic device (SphygmoCor version 7.1) that evaluated the propagation time of the sphygmic wave between the carotid and femoral pulse.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 92
- diabetes mellitus
- cancer, severe ckd, end stage liver disease
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description patients treated with dulaglutide Dulaglutide Diabetes therapy with dulaglutide and various combinations of aspart insulin, glargine, metformin, repaglinide patients not treated with dulaglutide Metformin Diabetes therapy with various combinations of aspart insulin, glargine, metformin, repaglinide but without dulaglutide patients treated with dulaglutide Aspart insulin Diabetes therapy with dulaglutide and various combinations of aspart insulin, glargine, metformin, repaglinide patients not treated with dulaglutide Repaglinide Diabetes therapy with various combinations of aspart insulin, glargine, metformin, repaglinide but without dulaglutide patients treated with dulaglutide Metformin Diabetes therapy with dulaglutide and various combinations of aspart insulin, glargine, metformin, repaglinide patients treated with dulaglutide Glargine Diabetes therapy with dulaglutide and various combinations of aspart insulin, glargine, metformin, repaglinide patients not treated with dulaglutide Glargine Diabetes therapy with various combinations of aspart insulin, glargine, metformin, repaglinide but without dulaglutide patients treated with dulaglutide Repaglinide Diabetes therapy with dulaglutide and various combinations of aspart insulin, glargine, metformin, repaglinide patients not treated with dulaglutide Aspart insulin Diabetes therapy with various combinations of aspart insulin, glargine, metformin, repaglinide but without dulaglutide
- Primary Outcome Measures
Name Time Method Change from Baseline Reactive Hyperemia Index at 3 and 9 months 0 months, 3 months and 9 months Endothelial function index RHI
- Secondary Outcome Measures
Name Time Method Change from Baseline systolic blood pressure at 3 and 9 months 0 months, 3 months and 9 months systolic blood pressure in mmHg
Change from Baseline Body Mass Index at 3 and 9 months 0 months, 3 months and 9 months weight and height will be combined to report BMI in kg/m\^2
Change from Baseline cholesterol at 3 and 9 months 0 months, 3 months and 9 months blood cholesterol in mg/dl
Change from Baseline triglycerides at 3 and 9 months 0 months, 3 months and 9 months blood triglycerides in mg/dl
Change from Baseline glucose at 3 and 9 months 0 months, 3 months and 9 months fasting blood glucose in mg/dl
Change from Baseline diastolic blood pressure at 3 and 9 months 0 months, 3 months and 9 months diastolic blood pressure in mmHg
Change from Baseline Pulse Wave Velocity at 3 and 9 months 0 months, 3 months and 9 months Pulse Wave Velocity in m/s
Trial Locations
- Locations (1)
Internal Medicine Ward, University of Palermo
🇮🇹Palermo, Italy