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The Effect and Mechanisms of the Second-meal Phenomenon in Type 2 Diabetic Patients

Completed
Conditions
Type 2 Diabetes
Registration Number
NCT01127997
Lead Sponsor
The Catholic University of Korea
Brief Summary

Second-meal phenomenon denotes the effect of a prior meal in decreasing the rise in blood glucose after a subsequent meal. This phenomenon occurs in normal subjects while it is not clear whether it is also observed in type 2 diabetic patients. This study aims to define whether the second-meal phenomenon occurs in type 2 diabetic patients. We will also seek for the mechanism.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
12
Inclusion Criteria
  • age 35-70
  • HbA1c 6-8%
  • DM duration less than 5 yrs
Exclusion Criteria
  • type 1 DM, secondary DM, gestational DM
  • patients using insulin, TZDs
  • patients using corticosteroid, herb medication or other medications affecting glucose tolerance
  • renal dysfunction (Cr > 1.5mg/dL)
  • hepatic dysfunction (LFT > x 3UNL)
  • anemia (Hg < 10g/dL)
  • ischemic heart disease, congestive heart failure
  • severe diabetic complication (CRF, CVA, PDR, gastroparesis)
  • infectious disease
  • malignancy
  • pregnant women

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Area under the curve of plasma glucose after meal3 months

Compare the post-lunch AUC of glucose between two meal tolerance tests(one after having breakfast, one after not having breakfast)

Secondary Outcome Measures
NameTimeMethod
the mechanism of second-meal phenomenon3 months

serum FFA, plasma insulin, C-peptide, incretin concentration will be measured

Trial Locations

Locations (1)

St. Vincent's hospital

🇰🇷

Suwon, Kyounggi-do, Korea, Republic of

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