Comparison of Metformin and Pioglitazone Effects on Adipokines Concentrations in Newly Diagnosed Type 2 Diabetes Patients
- Conditions
- Type 2 Diabetes Mellitus
- Interventions
- Registration Number
- NCT01593371
- Lead Sponsor
- Tehran University of Medical Sciences
- Brief Summary
Oral hypoglycemic agents encompass the mainstay of treatment in the majority of patients with type 2 diabetes. Thiazolidinediones (such a pioglitazone) and Biguanides (such as metformin), are two major groups of hypoglycemic medications that while function via different pathways, are both effective in short- and long-term glycemic control . These medications diminish or at least delay long term micro- and macrovascular complications associated with prolonged insulin resistance although at different rates. The mechanisms by which this aim is achieved, nevertheless, remains largely unclear. With adipokines playing a key role in development of both insulin resistance and atherosclerosis, oral hypoglycemic agents might regulate these substances by direct and indirect routes.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 98
- Newly diagnosed type 2 diabetes patients based on American Diabetes Association criteria (2011) for diagnosis of diabetes
- previous intake of oral hypoglycemic agents for treatment of diabetes or other hyperglycemia associated conditions
- intake of glucocorticoids in the past one year
- major illnesses of heart, lung, kidney, and liver.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Metformin Metformin patients receiving fixed dose metformin 1000 mg daily Pioglitazone Pioglitazone patients receiving fixed dose pioglitazone 30 mg daily
- Primary Outcome Measures
Name Time Method Serum concentrations of omentin 12 weeks Serum concentrations of adipose tissue derived cytokine omentin
Serum concentrations of leptin 12 weeks Serum concentrations of adipose tissue derived cytokine leptin
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Tehran University of Medical Sciences
🇮🇷Tehran, Iran, Islamic Republic of