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Comparison of Metformin and Pioglitazone Effects on Adipokines Concentrations in Newly Diagnosed Type 2 Diabetes Patients

Not Applicable
Completed
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
Inclusion Criteria
  • Newly diagnosed type 2 diabetes patients based on American Diabetes Association criteria (2011) for diagnosis of diabetes
Exclusion Criteria
  • 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
GroupInterventionDescription
MetforminMetforminpatients receiving fixed dose metformin 1000 mg daily
PioglitazonePioglitazonepatients receiving fixed dose pioglitazone 30 mg daily
Primary Outcome Measures
NameTimeMethod
Serum concentrations of omentin12 weeks

Serum concentrations of adipose tissue derived cytokine omentin

Serum concentrations of leptin12 weeks

Serum concentrations of adipose tissue derived cytokine leptin

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Tehran University of Medical Sciences

🇮🇷

Tehran, Iran, Islamic Republic of

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