Determinants of Insulin-induced Weight Gain in Type 2 Diabetes Mellitus

NCT ID: NCT00781495

Last Updated: 2011-07-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

75 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-12-31

Study Completion Date

2011-12-31

Brief Summary

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The purpose of this study is to find determinants of insulin-induced weight gain in type 2 diabetes mellitus

Primary objective: To find an association between weight gain after start of insulin therapy and physical activity levels.

Detailed Description

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Insulin therapy is frequently needed to achieve adequate glycaemic control in type 2 diabetes mellitus (T2DM), but often at the expense of weight gain. Insulin-induced weight gain is obviously undesirable in an already overweight population and may negatively affect blood pressure, lipid levels, inflammatory and fibrinolytic parameters, adipocytokines and also deter further optimization of insulin therapy. It is unknown what determinants predict insulin-induced weight gain in type 2 diabetes mellitus.

The aim of this study therefore, is to assess determinants of insulin-induced weight gain in type 2 diabetes mellitus. In a retrospective and cross-sectional study (Jansen HJ et al., submitted) two extreme subgroups were identified (subjects with a weight gain above 80th percentile) and subgroup non-weight gainers (subjects with a weight gain below the 20th percentile). It was found that the gainers had less energy expenditure after initiation of insulin therapy than non-weight gainers. Therefore, the primary aim of this study is to detect an association between energy expenditure and weight gain

Conditions

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Type 2 Diabetes Mellitus Weight Gain

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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type 2 diabetes mellitus

Sensewear Bodymedia armband

Intervention Type DEVICE

To assess physical activity levels patients will wear Sensewear bodymedia armband

Interventions

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Sensewear Bodymedia armband

To assess physical activity levels patients will wear Sensewear bodymedia armband

Intervention Type DEVICE

Other Intervention Names

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Sensewear Bodymedia system

Eligibility Criteria

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Inclusion Criteria

* patients with type 2 diabetes mellitus
* age 18-85 years
* Hba1c at baseline \< 12.0%
* written informed consent

Exclusion Criteria

* Clinical evidence of psychiatric, renal, cardiovascular or liver or other diseases which may influence study results regarding glucose and weight
* Patients with hormonal disorders which may influence weight (i.e. thyroid diseases), even if properly treated with stable hormonal levels
* Excessive alcohol consumption (\>20 g/day), and drug abuse
* Use of thiazolidinedione derivatives (TZDs)
* Pregnancy or intention to become pregnant during the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Radboud University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Radboud University Nijmegen Medical Centre

Principal Investigators

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Henry Jansen, MD

Role: PRINCIPAL_INVESTIGATOR

Radboud University Medical Center

Cees Tack, Prof.dr.

Role: PRINCIPAL_INVESTIGATOR

Radboud University Medical Center

Locations

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Radboud University Nijmegen Medical Centre

Nijmegen, Gelderland, Netherlands

Site Status RECRUITING

Jeroen Bosch Hospital

's-Hertogenbosch, North Brabant, Netherlands

Site Status RECRUITING

Jeroen Bosch Hospital

's-Hertogenbosch, North Brabant, Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Henry Jansen, MD

Role: CONTACT

0031243611111

Facility Contacts

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Henry Jansen, M

Role: primary

Paetrick Netten, MD, PhD

Role: primary

Linda Kemink, MD, PhD

Role: primary

References

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Jansen HJ, Stienstra R, van Diepen JA, Hijmans A, van der Laak JA, Vervoort GM, Tack CJ. Start of insulin therapy in patients with type 2 diabetes mellitus promotes the influx of macrophages into subcutaneous adipose tissue. Diabetologia. 2013 Dec;56(12):2573-81. doi: 10.1007/s00125-013-3018-6. Epub 2013 Sep 25.

Reference Type DERIVED
PMID: 24065152 (View on PubMed)

Other Identifiers

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T2DM_insulin_weight gain

Identifier Type: -

Identifier Source: org_study_id

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