Effects of Acarbose on Endothelial Function After a Mixed Meal in Newly Diagnosed Type 2 Diabetes
Study Details
Study Description
Brief Summary
Endothelial dysfunction (ED) has been suggested as a possible causal link between postprandial hyperglycemia and cardiovascular events in patients with type 2 diabetes. Recent trials demonstrated a reduction of cardiovascular events by treatment with the alpha glucosidase inhibitor acarbose - a drug which mainly reduces postprandial glucose excursions. We were interested whether patients with newly diagnosed type 2 diabetes showed postprandial ED and if so whether acarbose was able to improve this condition.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: 1 20 weeks of treatment with acarbose (100 mg t.i.d.) |
Drug: acarbose
100 mg (tablets) t.i.d.
|
Placebo Comparator: 2 20 weeks of treatment with placebo (one tablet t.i.d.) |
Drug: placebo
one tablet t.i.d.
|
Outcome Measures
Primary Outcome Measures
- forearm blood flow assessed by forearm occlusion plethysmography after a mixed meal [at baseline and after 20 weeks of treatment]
Secondary Outcome Measures
- forearm blood flow assessed by forearm occlusion plethysmography in the fasting state, plasma glucose excursion in response to the mixed meal, insulin levels in response to the mixed meal, triglyceride levels in response to the mixed meal [at baseline and after 20 weeks of treatment]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
age 35-75 years
-
type 2 diabetes (newly diagnosed)
-
well glycemic control (HbA1c </= 8.1)
-
leucocyte count > 6.2 or hs CrP > 1
Exclusion Criteria:
-
hs CrP > 10
-
type 1 diabetes
-
previous treatment with antidiabetic drugs
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Technische Universität Dresden
Investigators
- Principal Investigator: Markolf Hanefeld, PhD, Center for Clinical Studies, Fiedlerstr. 34, 01307 Dresden, Germany
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- AIDA a4