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Gastrointestinal hormones and genes associated to type 2 diabetes remission in non-morbid obesity after bariatric surgery

Completed
Conditions
Type 2 diabetes
Nutritional, Metabolic, Endocrine
Non-insulin-dependent diabetes mellitus
Registration Number
ISRCTN57114193
Lead Sponsor
Fundación Mutua Madrileña (Spain)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
60
Inclusion Criteria

1. Men and women
2. Ages 35-60
3. Type 2 diabetes diagnosed 1-10 years prior to recruitment
4. Body mass index (BMI) 30-40 kg/m2
5. C-peptide level > 1 ng/dL
6. Signed written informed consent

Exclusion Criteria

1. HbA1c levels > 6.5% or > 10% at the time of recruitment
2. Creatinine levels > 1.5 mg/dL
3. Ongoing pregnancy, either at the time of recruitment or follow-up
4. Renal failure (ClCr < 50 mL/min)
5. Liver disease
6. Psychiatric disorders

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Remission of type 2 diabetes after metabolic surgery, defined as two categories: complete remission (fasting glucose < 100 mg/dl, normal HbA1c values) and partial remission (fasting glucose 100-125 mg/dl, HbA1c < 6.5%), in both cases in the absence of active pharmacologic treatment, at each time of follow-up (T1 and T2)
Secondary Outcome Measures
NameTimeMethod
1. Changes in gastrointestinal hormones (ghrelin, insulin, glucagon, GIP, GLP-1, PYY3-36, oxyntomodulin, adiponectin, leptin and GLP-2) using values of area under the curve (AUC), for each bariatric procedure and comparison with a matched control group<br>2. Analysis of polymorphisms involved in type 2 diabetes and incretin metabolism
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