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Influence of Preprandial Metformin Administration on Carbohydrate Absorption

Not Applicable
Not yet recruiting
Conditions
Type2 Diabetes
Impaired Glucose Tolerance
Interventions
Other: Oral glucose tolerance test (OGTT) with or without metformin
Registration Number
NCT04018105
Lead Sponsor
University Hospital, Lille
Brief Summary

Type 2 diabetes is spreading worldwide as well as obesity. Metformin is the most prescribed antidiabetic medication. One suggested mechanism of action is by decreasing carbohydrate absorption.

It is usually recommended to take metformin during the meal to decrease gastrointestinal side effects. However, if metformin decreases carbohydrate absorption, this might not be the most efficient intake.

To study the influence of preprandial metformin administration on carbohydrate absorption, it will repeat 3 oral glucose tolerance test on obese dysglycemic patients, without metformin or with metformin administer 30 or 60 minutes before. We will also evaluate how it impacts gastrointestinal tolerance.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
Female
Target Recruitment
24
Inclusion Criteria
  • Obesity (BMI ≥30 kg/m2)
  • Dysglycemia (HbA1c≥ 6,0 %)
  • No anti diabetic medication
Exclusion Criteria
  • No obesity (BMI < 30 kg/m2)
  • No dysglycemia (HbA1c <6,0%)
  • Treatment that might interfere with carbohydrate absorption (anti diabetic medication, antibiotics, probiotics, steroids)
  • Anemia (Hb <12 g/dL)
  • Organ failure
  • Inflammatory Bowel Disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
taking metformin 30 or 60 minutes before the OGTTOral glucose tolerance test (OGTT) with or without metformin-
No metformin before OGTTOral glucose tolerance test (OGTT) with or without metformin-
Primary Outcome Measures
NameTimeMethod
Area under the curve of D-XyloseDuring the 3 hours OGTT
Secondary Outcome Measures
NameTimeMethod
Area under the curve of blood glucoseDuring the 3 hours OGTT
Number of Participants with gastrointestinal side effectsDuring the 3 hours OGTT
Area under the curve of insulinDuring the 3 hours OGTT
Area under the curve of GLP-1During the 3 hours OGTT
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