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oral Butyrate Use in TYpe 1 diabetes: Effects on Regulation of bActerial translocation, T-cell and innate immune system function and Endotoxemia

Completed
Conditions
type 1 diabetes mellitus
Registration Number
NL-OMON26759
Brief Summary

n/a

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
30
Inclusion Criteria

Type 1 diabetes patients
male/female (18-45 years, normal BMI 19-25 kg/m2)
non smoking,
No complications (microalbuminuria, retinopathy and/or neuropathy)

Exclusion Criteria

concomitant medication besides exogenous insulin., antibiotic use in the last three months, use of probiotics, comorbidity that might affect intestinal flora, chronic diarrhoea or fulfilling the criteria for irritable bowel syndrome.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary study parameter will be changes in innate immunity (periferal monocyte phenotype and in vitro cytokine production) upon oral sodium butyrate treatment.
Secondary Outcome Measures
NameTimeMethod
adaptive immunological parameters: FACS on peripheral T-cell subsets and mucosa innate and adaptive immunity <br> stimulated (mixed meal) beta cell function (stimuled C-peptide upon standardized mixed meal (boost) challenge in serum and urine), <br>glucose regulation (HbA1c and daily insulin use), intestinal and systemic inflammation (fecal calprotectin, CRP, leukocytes) <br>bacterial translocation (LPS-binding peptide in serum).<br>changes in fecal and serum butyrate concentrations changes in gut microbiome (HIT-chip)<br>diet/caloric intake will be evaluated by diet lists.
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