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临床试验/NCT00325559
NCT00325559已完成不适用

The Effect of Hyperglycaemia on Local Energy Stores in the Working Muscle in Patients With Type 1 Diabetes Mellitus

Insel Gruppe AG, University Hospital Bern2 个研究点 分布在 1 个国家目标入组 10 人开始时间: 2006年6月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
10
试验地点
2
主要终点
Paired difference in the time to complete a time trial corresponding to 5 km cycling between euglycaemia and hyperglycaemia

研究概览

简要总结

This study aims at investigating the effect of hyperglycaemia on physical performance and local energy stores in the muscle in patients with type 1 diabetes mellitus under exercise conditions.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
盲法
Single

入排标准

年龄范围
20 Years 至 40 Years(Adult)
性别
Male
接受健康志愿者

入选标准

  • Aged from 20 to 40 years
  • Patients with type 1 diabetes mellitus lasting for at least 5 years (C-Peptide ≤ 0.3 nmol/l in the presence of a plasma glucose level ≥ 7 mmol/L, indicating insulin dependence)
  • Insulin delivery by CSII (continuous subcutaneous insulin infusion) for at least 6 months
  • Acceptable to good metabolic control, reflected by an HbA1c 5-8%
  • Normal insulin sensitivity, reflected by a daily insulin requirement of 0.3-1.0 U/kg body weight
  • minimum 30' of moderate exercise 3 times per week
  • BMI in the range of 18-25 kg/m2

排除标准

  • Chronic complications of diabetes:
  • Microalbuminuria (Mogensen nephropathy stadium ≥ III)
  • Sensory neuropathy (vibration better than 5/8 at the metatarsophalangeal articulation of digitus I)
  • Proliferating retinopathy
  • No history of macro-vascular complications
  • Clinically relevant autonomous neuropathy
  • Abnormal thyroid function
  • Major depression, psychosis and other severe personality disorders, claustrophobia
  • Active neoplasia
  • Contraindications to exposure to a 1.5 T magnetic field (pace-makers, osteosynthetic material, etc.)
  • Abnormal liver or renal function (creatinine > 130 µmol/L; ASAT and ALAT > 3 times the upper reference limit)
  • Excessive alcohol consumption (>60g/d) or drug-abuse
  • Refusal to give written informed consent
  • Participation in another study
  • Patients, who are not suitable for the study according to the study physician

结局指标

主要结局

Paired difference in the time to complete a time trial corresponding to 5 km cycling between euglycaemia and hyperglycaemia

次要结局

  • Rate of glucose infusion
  • Serum insulin levels
  • Serum glucose levels
  • Pretest diary data
  • Oxidation of endogenous glucose
  • Serum lactate levels during the exercise test
  • Amino acid oxidation
  • IMCL content during exercise in the working muscle
  • Fat oxidation (calculated via tracer and via RER)
  • Total glucose oxidation
  • Rate of appearance of glucose
  • Rate of disappearance of glucose
  • Muscle glycogen content during exercise in the working muscle (pre test vs. post test), in euglycaemia and hyperglycaemia respectively (All following endpoints are paired differences (euglycaemia vs. hyperglycaemia) of paired differences (pre
  • Oxidation of exogenous glucose
  • Rate of perceived exertion
  • Serum free fatty acid concentration
  • Time to achieve hyperglycemia during clamp

研究者

申办方类型
Other

研究点 (2)

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