Retinal Adaptation to Intensified Insulin Therapy and Bariatric Surgery in Patients With Diabetes

NCT ID: NCT01517490

Last Updated: 2015-03-11

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

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-08-31

Brief Summary

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Retinal function is highly dependent on the glucose supply. Thus, functional adaptations occur in response to both acute and long-term changes in glycaemia.

The purpose of this study is to examine functional and metabolic aspects of retinal adaptation to long-lasting changes in glycaemic control in patients with diabetes. The adaptational phenomena will be characterized by electroretinography, dark adaptation, measures of retinal perfusion and oximetry as well as diabetic retinopathy grading and (OCT).

Detailed Description

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Conditions

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Diabetes Mellitus Diabetic Retinopathy

Study Design

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Study Time Perspective

PROSPECTIVE

Study Groups

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Type 1 Insulin Pump

Patients with type 1 diabetes starting insulin pump treatment

Insulin pump

Intervention Type OTHER

Insulin pump therapy

Type 1 conventional therapy

Patients with type 1 diabetes continuing treatment with multiple daily insulin injections.

Multiple daily insulin injections

Intervention Type OTHER

Multiple daily insulin injections

Type 2 Bariatric surgery

Patients with type 2 diabetes who are enrolled in pre-operative weight loss protocol prior to bariatric surgery.

Bariatric surgery

Intervention Type PROCEDURE

Pre-operative weight loss and bariatric surgery.

Type 2 conventional

Severely obese patients with type 2 diabetes who are to continue with non-surgical treatments of diabetes and obesity and with no planned bariatric surgery.

Medical therapy for type 2 diabetes

Intervention Type OTHER

Medical glucose-lowering therapy and non-surgical weight-lowering interventions.

Type 1 insulin pumpe follow-up

Patients with type 1 diabetes previously followed in an observational study with electrophysiological and psychophysical measures of retinal function.

Insulin pump

Intervention Type OTHER

Insulin pump therapy

Healthy

Healthy volunteers.

No interventions assigned to this group

Interventions

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Insulin pump

Insulin pump therapy

Intervention Type OTHER

Multiple daily insulin injections

Multiple daily insulin injections

Intervention Type OTHER

Bariatric surgery

Pre-operative weight loss and bariatric surgery.

Intervention Type PROCEDURE

Medical therapy for type 2 diabetes

Medical glucose-lowering therapy and non-surgical weight-lowering interventions.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with type 1 diabetes and suboptimal metabolic regulation.
* Patients with type 2 diabetes and suboptimal metabolic regulation.

Exclusion Criteria

* Significant cataract
* Glaucoma
* Proliferative diabetic retinopathy fulfilling ETDRS treatment criteria.
* Clinically significant macular edema fulfilling ETDRS treatment criteria.
* Age-related macular degeneration
* Prior surgery to the eye
* Other serious eye disease
* Hypertension
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Glostrup University Hospital, Copenhagen

OTHER

Sponsor Role lead

Responsible Party

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Oliver Niels Klefter

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Oliver Klefter, MD

Role: PRINCIPAL_INVESTIGATOR

Glostrup UH

Michael Larsen, Professor, DMSci

Role: STUDY_DIRECTOR

Glostrup UH

Locations

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Department of Ophthalmology, Glostrup Hospital

Glostrup Municipality, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Oliver Klefter, MD

Role: CONTACT

+45 38 63 48 18

Facility Contacts

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Oliver Klefter, MD

Role: primary

+45 38 63 48 18

Michael Larsen, Professor, DMSci

Role: backup

+45 38 63 48 34

Other Identifiers

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Klefter1

Identifier Type: -

Identifier Source: org_study_id

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