INTIMET: INsulin Resistance in Type 1 Diabetes Managed with METformi
- Conditions
- Type 1 DiabetesMetabolic and Endocrine - Diabetes
- Registration Number
- ACTRN12619001440112
- Lead Sponsor
- Garvan Institute of Medical Research
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 60
T1D and controls without diabetes:
1. Age: adult (ages 20-55)
2. Premenopausal (if female)
T1D:
1. < 10 years since diagnosis of diabetes
2. Fasting c-peptide < 0.3nmol/L)
3. HbA1c less than or equal to 9.5%
1. Current smoking
2. Current or planned prescription of medications that affect glucose metabolism (glucocorticoids, antipsychotics, immunosuppressants).
3. Exposure to metformin within the last 30 days
4. Alcohol intake > 20g/day in women or > 40g/day in men
5. Weight change > 5% in last 3 months or history of bariatric surgery
6. Pregnancy, breastfeeding, or childbearing potential not willing to avoid pregnancy during the study
7. Known major organ dysfunction (eGFR < 60, liver disease transaminases > 3 times the upper limit of normal, cardiac event within the last 6 months, current cancer or uncontrolled thyroid dysfunction).
8. Diabetic ketoacidosis or severe hypoglycaemia (hypoglycaemia requiring third-party assistance) in the last 6 months.
9. A history of a psychological illness or condition that would interfere with the patient’s ability to understand the requirements of the study.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Change in hepatic insulin resistance, assessed by hyperinsulinaemic euglycaemic clamp (with deuterated glucose tracers).[26 weeks post initiation of treatment ]
- Secondary Outcome Measures
Name Time Method