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Insulin Detemir Action in Cerebro

Not Applicable
Completed
Conditions
Type 1 Diabetes
Registration Number
NCT00626080
Lead Sponsor
Amsterdam UMC, location VUmc
Brief Summary

The aim of this study is to test the hypothesis that subcutaneous administration of insulin detemir, as compared to insulin NPH, leads to a more pronounced effect on cerebral glucose metabolism and/or cerebral blood flow in brain regions associated with appetite regulation, to account for the reported difference in weight.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
40
Inclusion Criteria
  • Type 1 diabetic patients;
  • Diabetes duration =/> 1 year;
  • HbA1c ~ 7,5%;
Exclusion Criteria
  • Recent onset of DM;
  • BMI < 18 OR > 35 kg/m2;
  • T2DM;
  • History of major heart/renal disease;
  • Severe untreated proliferative retinopathy;
  • History of recurrent severe hypoglycaemia;
  • (History of) brain disorders;
  • Alcohol abuse,(History of) drug abuse, benzodiazepines, selective beta-blockers, oral steroids, oral anticoagulants;
  • Current psychiatric disease/treatment;
  • (history of) eating disorders;
  • History of severe head trauma accompanied by loss of consciousness;
  • Any endocrine disease not well controlled for at least 3 months;
  • Inability to undergo MRI;
  • Visual acuity < 0.3;
  • Known or suspected allergy to trial product or related products

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Primary Outcome Measures
NameTimeMethod
Cerebral metabolic rate of glucose, in brain regions associated with appetite control, as determined by FDG-PETAfter 12 weeks of treatment
Cerebral blood flow, in brain regions associated with appetite control, as determined by H2O-PETAfter 12 weeks of treatment
Secondary Outcome Measures
NameTimeMethod
CSF insulin concentrationAfter 12 weeks of treatment
Activity in brain regions associated with appetite control, as determined by fMRIAfter 12 weeks of treatment
Weight changeAfter 12 weeks of treatment

Trial Locations

Locations (1)

VU University Medical Center

🇳🇱

Amsterdam, Netherlands

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