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Effect of Medical Interventions in Insulin Resistance on Prevalence of Abnormal Glucose Tolerance

Phase 4
Conditions
Insulin Resistance
Interventions
Behavioral: healthy lifestyle
Registration Number
NCT02502344
Lead Sponsor
Beijing Tsinghua Chang Gung Hospital
Brief Summary

This research would take medical interventions in subjects of insulin resistance without abnormal glucose tolerance, to see if there were different prevalence of abnormal glucose tolerance in different groups.

Detailed Description

The situation of type 2 DM prevention in China is serious. The commonly accepted natural course of type 2 DM is as follows: obesity, insulin resistance(hyperinsulemia), abnormal glucose tolerance, DM and complications of DM; correspondently, the function status of pancreas islet β cells are: normal, compensatory, decompensatory, impaired and failure. Post researches have proved that using medical interventions after the period of insulin resistance when the function status of β cells were compensatory, the course could not be reversed. There were few clinical researches about effects of medical interventions in the period of insulin resistance . This research would take medical interventions in subjects of insulin resistance without abnormal glucose tolerance, to see if there were different prevalence of abnormal glucose tolerance in different groups.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
Inclusion Criteria
  • BMI > 28kg/m2
  • diagnosis of insulin resistance
Exclusion Criteria
  • abnormal glucose tolerance
  • function impairment of heart, liver or kidney

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
medical intervention grouphealthy lifestylesubjects in this group will accept healthy lifestyle changes such as food control and intensive exercise for 3 months first. Then their insulin resistance will be evaluated again . If their insulin resistance didn't improve, then they will take metformin 0.5g qd to reduce insulin resistance. If their insulin resistance improved, they will continued healthy lifestyle changes.
medical intervention groupMetforminsubjects in this group will accept healthy lifestyle changes such as food control and intensive exercise for 3 months first. Then their insulin resistance will be evaluated again . If their insulin resistance didn't improve, then they will take metformin 0.5g qd to reduce insulin resistance. If their insulin resistance improved, they will continued healthy lifestyle changes.
Primary Outcome Measures
NameTimeMethod
prevalence of abnormal glucose intolerancetwo years after the subject joins the research

OGTT test will be took in these subjects to find out if their glucose tolerance was abnormal

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

BEI JING Tsinghua Changguang Hospital

🇨🇳

Beijing, Beijing, China

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