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Effects and comparisons of once & twice daily insulin’s in combination with oral hypoglycaemic agents on glycaemic control, hypoglycaemia and weight in type 2 Diabetes.

Conditions
Type 2 Diabetes
MedDRA version: 8.1Level: LLTClassification code 10045242Term: Type II diabetes mellitus
Registration Number
EUCTR2005-003824-21-GB
Lead Sponsor
Royal Liverpool University Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

1.Patients with Type 2 Diabetes Mellitus:
a.Insulin naïve.
b.Men or Women.
c.Age between 40-80 years.
d.Duration of diabetes of at least 3 years.
2.HbA1c > 7.5%.
3.On maximum tolerated combination oral hypoglycaemic agents for more than 6 months.
4.BMI > 25.
5.All patients clinically requiring the commencement of insulin therapy.

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

1.Proliferative diabetic retinopathy requiring acute treatment.
2.Acute or chronic Renal failure.
3.Acute or chronic hepatic failure.
4.Severe Cardiac failure.
5.Allergy to insulin.
6.Alcohol dependence.
7.Pregnancy & Breast feeding.
8.Patients who have had ketoacidosis.
9.Previous treatment with insulin.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary end point(s): a.HbA1c.<br>b.Fasting plasma glucose.<br>c.8 point blood glucose profile (pre- and 2 hours postprandial blood glucose measurements and at bedtime and at 0300 h).<br>d.Daily blood glucose variability assessed by patient’s blood glucose monitoring diary.<br>;Main Objective: To determine and identify the most optimum insulin and oral hypoglycaemic agent combination to achieve maximum glycaemic control with the least hypoglycaemic events and little or no weight gain and even possible weight reduction.;Secondary Objective: To determine the effects of Insulin in combination with oral hypoglycaemic agents on glycaemic control, weight and hypoglycaemic events in poorly controlled type 2 Diabetes patients.
Secondary Outcome Measures
NameTimeMethod
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