The Retinal Function in Relation to Glucose Changes
Recruitment status was Recruiting
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Purpose
This project has the following specific purposes:
- To develop a clinically usable test to determine the blood glucose level or HbA1c-level, to which the retina is adapted. This will be performed by means of ERG implicit time measurements in relation to the blood glucose level during an oral glucose tolerance test (OGTT) and inter- or extrapolation to the level of blood glucose (or HbA1c) where implicit time is normal.
- To examine darkadaptation in diabetics in relation to changes in the glucose level.
- To examine vessel diameter changes in diabetic individuals when changing the glucose level transiently
| Condition | Intervention |
|---|---|
|
Diabetes |
Other: Glucose test |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Basic Science |
| Official Title: | The Retinal Function in Relation to Glucose Changes |
- Changes in amplitude/implicit times, changes in dark adaptation, changes in vessel caliber, changes in Optical coherence tomography (OCT) [ Time Frame: 1 day ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 80 |
| Study Start Date: | September 2009 |
| Estimated Study Completion Date: | October 2009 |
| Estimated Primary Completion Date: | October 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Glucose
Subjects are given an oral glucose tolerance test.
|
Other: Glucose test
Subjects ingest an oral glucose tolerance test.
Other Name: Standardized oral glucose tolereance test (75 g glucose)
|
Detailed Description:
Study 1: 24 type 2 diabetics with minimal diabetic retinopathy but varying HbA1c level.
Study 2: 24 type 2 diabetics with minimal diabetic retinopathy. Study 3: 24 type 2 diabetics with minimal diabetic retinopathy.
Plan of trial:
Study 1: Test individuals will be examined at baseline: Prior history of illness, eye examination, blood test, fundusphoto and fullfield-ERG. Afterwards test individuals will take an oral glucose tolerance test (OGTT) which results in a peak in blood glucose after approx. 2 hours, whereafter the blood glucose level normalizes. Immediately after the sugar intake test individuals will be examined by repeated fullfield-ERG's and blood glucose measurements (every 30 min) until the blood glucose level has been normalized.
Study 2: Test individuals will be examined at baseline: Prior history of illness, eye examination, blood test, fundusphoto and dark adaptation. Afterwards test individuals will take an oral glucose tolerance test (OGTT) which results in a peak in blood glucose after approx. 2 hours, whereafter the blood glucose level normalizes. 80 minutes after the sugar intake test individuals will be examined by repeated dark adaptation and blood glucose measurements.
Study 3: Test individuals will be examined at baseline: Prior history of illness, eye examination, blood test, fundusphoto. Afterwards test individuals will take an oral glucose tolerance test (OGTT) which results in a peak in blood glucose after approx. 2 hours, whereafter the blood glucose level normalizes. At baseline (fasting) and 80 minutes after the sugar intake test individuals will be examined by redfree photos of optic disc and blood glucose measurements.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Type 2 diabetic individuals. Age > 17 < 80
- Dysregulated type 1 diabetic individuals and newly diagnosed type 1 diabetics. Age >17 < 60 years
- with minimal or no diabetic retinopathy defined by no more than five microaneurysms or dot hemorrhages per eye on three non-stereoscopic 50 degree color fundus photographs
Exclusion Criteria:
- Test individuals with significant cataract, prior surgery to the eye, diabetic retinopathy, other serious eye disease, hypertension, other serious systemic disease.
Contacts and Locations| Contact: Stig Holfort, Medical Doctor | +4551948354 |
| Denmark | |
| Glostrup Hospital | Recruiting |
| Glostrup, Denmark, 2600 | |
| Contact: Stig Holfort, Medical doctor +45 43234817 | |
| Principal Investigator: Stig Holfort, Medical Doctor | |
| Principal Investigator: | Stig Holfort, Medical Doctor | Glostrup Hospital |
More Information
No publications provided
| Responsible Party: | Stig Holfort, Glostrup Hospital, department of Ophthalmology |
| ClinicalTrials.gov Identifier: | NCT00973726 History of Changes |
| Other Study ID Numbers: | Stig Holfort |
| Study First Received: | September 8, 2009 |
| Last Updated: | September 23, 2009 |
| Health Authority: | Denmark: National Board of Health |
ClinicalTrials.gov processed this record on May 19, 2013