Efficacy of Two Formulas of Oral Nutritional Supplementation on Metabolic Parameters and Glycemic Monitoring in Patients at Nutritional Risk With Type 2 Diabetes Mellitus
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Type 2 Diabetes
- Sponsor
- Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud
- Enrollment
- 29
- Locations
- 1
- Primary Endpoint
- Postprandial glycemic response
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Rationale: The aim of the study was to compare the glycemic and insulinemic response of malnourished patients with type 2 diabetes after oral feed between a diabetic oral nutritional supplements (ONS) and a standard one.
Methods: Randomized, double-blind, crossover, multicenter clinical trial, conducted in patients with type 2 diabetes and a diagnosis of malnutrition (SGA). Patients were randomized to receive two ONS: diabetic (Bi1 diacare hp/hc) or control (standard, isocaloric and isoproteic), a week apart. A glycemia and insulinemia curve was made at times: 0', 30', 60', 90', 120', and 180', after drank 200 ml of the ONS. The analyzed variables were the area under the curve (AUC 0-t) of glucosa and insulin, and the maximum concentration of glucose (Cmax).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Diagnosed with DM2 (confirmed by the use of oral hypoglycemic agents for at least two months).
- •Patients at nutritional risk diagnosed through the Subjective Global Assessment.
- •Adequate cultural level and understanding of the clinical study.
- •Agree to voluntarily participate in the study and give their informed consent in writing.
- •Non-pregnant and non-lactating women or women who have given birth at least six weeks prior to the screening visit.
Exclusion Criteria
- •Type 1 DM, DM2 with insulin treatment and DM secondary to steroids.
- •Consumption of alpha-glucosidase inhibitors.
- •Current infection (requiring medication or hospitalization), patients undergoing inpatient surgery, or receiving corticosteroids within the past three months or antibiotics within the past three weeks prior to Screening Visit.
- •BMI \> 35 Kg/m
- •Active malignant neoplasm (except the following dermal malignancies: basal cell carcinoma, squamous cell carcinoma, carcinoma in situ of the cervix uteri).
- •End-stage organ failure (such as end-stage renal disease) or organ transplant.
- •Advanced chronic kidney disease (glomerular filtration rate \< 30 ml/min).
- •Severe liver disease.
- •Severe gastroparesis.
- •Chronic infectious disease, such as active tuberculosis, hepatitis B or C, or HIV infection.
Outcomes
Primary Outcomes
Postprandial glycemic response
Time Frame: 180 minutes
Secondary Outcomes
- Postprandial insulin response(180 minutes)