Dietetic Intervention With Soluble Fiber in Type 2 Diabetes Mellitus (DM) Patients With Metabolic Syndrome (MS)
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Purpose
Metabolic Syndrome (MS) is an clinical condition with high cardiovascular risk. More than 80% of DM patients had MS. Dietary factors can be associated to both, DM and MS. Therefore the aim of this study is to evaluate the effects of add soluble fiber (goma-guar) in the usual diet of type 2 DM with MS and compare this intervention with an usual diet without this supplement.
| Condition | Intervention |
|---|---|
|
Metabolic Syndrome Albuminuria |
Dietary Supplement: guar gum |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Dietetic Intervention With Soluble Fiber in Type 2 Diabetes Mellitus (DM) Patients With Metabolic Syndrome (MS) |
- Changes on the components of metabolic syndrome (according to IDF and WHO criteria): blood pressure, waist, body mass index (BMI), triglycerides, high-density lipoprotein (HDL) cholesterol, glucose values (HBA1c) and urinary albumin excretion. [ Time Frame: 4 and 6 weeks ] [ Designated as safety issue: No ]
- changes on serum fatty acids and serum cholesterol [ Time Frame: 4 and 6 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 42 |
| Study Start Date: | June 2007 |
| Study Completion Date: | December 2009 |
| Primary Completion Date: | September 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: usual diet
no dietary or drug intervention. Patients followed their usual diet.
|
|
|
Experimental: guar gum
guar gum
|
Dietary Supplement: guar gum
guar gum 10g/day for six weeks
Other Name: benefiber; guar gum group
|
Detailed Description:
The aim of this study was to evaluate the effect of soluble fiber (guar gum) on the MS components (International Diabetes Federation-2005 and WHO): blood pressure, plasma glucose, triglycerides, HDL, central obesity (waist, BMI),and albuminuria. Secondary objectives are: effect of guar gum on serum fatty acids, , PCR, endothelin 1, and fibrinogen. Primary outcomes were alterations on MS components.
Forty-four type 2 diabetic outpatients were included in a randomized clinical trial: treatment 1- guar gum (10g/day) + usual diet; treatment 2- usual diet. The duration of each treatment was six weeks. Three days weight diet records with concurrent 24h urinary collections (protein intake estimative), clinical and laboratory evaluation were performed at baseline and after 4 and 6 weeks. Serum fatty acids were measured in total triglycerides fractions by gas chromatography.
Eligibility| Ages Eligible for Study: | 40 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with type 2 diabetes
- Using metformin and/or Insulin
Exclusion Criteria:
- serum triglycerides > 400 mg/dl
- serum creatinine > 2 mg/dl
- gastrointestinal malabsorption
Contacts and Locations| Brazil | |
| HCPA | |
| Porto Alegre, RS, Brazil, 90630040 | |
| Principal Investigator: | Mirela J Azevedo, MD | HCPA |
| Study Director: | Jorge L Gross, MD | HCPA |
| Principal Investigator: | Valesca Dall'Alba, RD | HCPA |
More Information
No publications provided
| Responsible Party: | Mirela jobim de Azevedo, Federal University of Rio GRAnde do sul |
| ClinicalTrials.gov Identifier: | NCT01071785 History of Changes |
| Other Study ID Numbers: | HCPA-06370 |
| Study First Received: | June 6, 2008 |
| Last Updated: | February 25, 2010 |
| Health Authority: | Brazil: National Committee of Ethics in Research |
Keywords provided by Hospital de Clinicas de Porto Alegre:
|
Metabolic Syndrome diet fiber Serum lipids Albuminuria |
Additional relevant MeSH terms:
|
Albuminuria Diabetes Mellitus Diabetes Mellitus, Type 2 Metabolic Syndrome X Proteinuria Urination Disorders Urologic Diseases |
Urological Manifestations Signs and Symptoms Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Insulin Resistance Hyperinsulinism |
ClinicalTrials.gov processed this record on May 22, 2013