Impact of n-3 Polyunsaturated Fatty Acids in a Protein-enriched Diet With Low GI in Type 2 Diabetes Patients (IMPEDE-DM2)
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Purpose
Type 2 diabetes is tightly associated with overweight and obesity. Inflammatory processes are crucial triggers for insulin resistance that paves the way to type 2 diabetes. In a previous study the investigators have shown that n-3 polyunsaturated fatty acids diminish adipose tissue inflammation in morbidly obese non-diabetic subjects. in this observational study the investigators will apply n-3 polyunsaturated fatty acids as addition to a protein-enriched diet with low glycemic index to overweight and obese patients with insulin resistance, prediabetes and manifest type 2 diabetes over up to 6 months. Primary efficacy parameters are changes from baseline in HbA1c and body weight for for type 2 diabetes and all other patients, respectively.
| Condition | Intervention |
|---|---|
|
Overweight Obese Insulin Resistance Diabetes |
Dietary Supplement: n-3 PUFA in protein-enriched low-GI diet |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | IMpact of n-3 Polyunsaturated Fatty Acids With a Protein-Enriched DiEt With Low Glycemic Index on Metabolic and Inflammatory Parameters in Type 2 Diabetic and Obese Patients: an Observational Pilot Study |
- HbA1c change from baseline (type 2 diabetes patients) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- body weight change from baseline (non-diabetic patients) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- change from baseline of inflammatory and metabolic parameters [ Time Frame: 3 months ] [ Designated as safety issue: No ]
Biospecimen Retention: Samples Without DNA
serum and plasma samples for biochemical analyses
| Estimated Enrollment: | 200 |
| Study Start Date: | November 2011 |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
1A
overweight (non-obese) insulin-resistant, non-diabetic, non-prediabetic
|
Dietary Supplement: n-3 PUFA in protein-enriched low-GI diet
3 g per day n-3 polyunsaturated fatty acids in a protein-enriched low-GI diet
|
|
1B
obese insulin-resistant, non-diabetic, non-prediabetic
|
Dietary Supplement: n-3 PUFA in protein-enriched low-GI diet
3 g per day n-3 polyunsaturated fatty acids in a protein-enriched low-GI diet
|
|
2A
overweight (non-obese) prediabetic
|
Dietary Supplement: n-3 PUFA in protein-enriched low-GI diet
3 g per day n-3 polyunsaturated fatty acids in a protein-enriched low-GI diet
|
|
2B
obese prediabetic
|
Dietary Supplement: n-3 PUFA in protein-enriched low-GI diet
3 g per day n-3 polyunsaturated fatty acids in a protein-enriched low-GI diet
|
|
3A
overweight (non-obese) diabetic
|
Dietary Supplement: n-3 PUFA in protein-enriched low-GI diet
3 g per day n-3 polyunsaturated fatty acids in a protein-enriched low-GI diet
|
|
3B
obese diabetic
|
Dietary Supplement: n-3 PUFA in protein-enriched low-GI diet
3 g per day n-3 polyunsaturated fatty acids in a protein-enriched low-GI diet
|
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
overweight to obese insulin resistant, prediabetic and diabetic patients
Inclusion Criteria:
- overweight or obesity AND
- insulin resistant OR pre-diabetes OR type 2 diabetes
Exclusion Criteria:
- changes in anti-diabetic medication in the lat two months
- acute illness during the last two weeks
- HIV infection
- hepatitis of other clinically significant hepatic disease other than non-alcoholic hepatic steatosis
- severe or insufficiently treated cardiovascular, renal (GFR-MDRD < 60 ml/min) or pulmonary disease
- Macroproteinuria (> 300 mg/g creatinine)
- clinically significant or insufficiently treated thyroid disease
- anemia
- active malignant disease
- inborn or acquired coagulopathy
Contacts and Locations| Contact: Thomas M Stulnig, MD | +43140400 ext 4368 | thomas.stulnig@meduniwien.ac.at |
| Austria | |
| Dept. Medicine III, Medical University of Vienna | Recruiting |
| Vienna, Austria, 1090 | |
| Contact: Thomas M Stulnig, MD +43-1-40400 ext 4368 thomas.stulnig@meduniwien.ac.at | |
| Sub-Investigator: Bianca K Itariu, MD | |
| Sub-Investigator: Eva Hochbrugger, MD | |
| Sub-Investigator: Simone Moosheer | |
More Information
No publications provided
| Responsible Party: | Thomas M Stulnig, Associate Professor, Medical University of Vienna |
| ClinicalTrials.gov Identifier: | NCT01474603 History of Changes |
| Other Study ID Numbers: | IMPEDE-DM2 |
| Study First Received: | November 15, 2011 |
| Last Updated: | November 17, 2011 |
| Health Authority: | Medical University of Vienna, Austria: |
Keywords provided by Medical University of Vienna:
|
observational study |
Additional relevant MeSH terms:
|
Diabetes Mellitus Insulin Resistance Overweight Glucose Metabolism Disorders Metabolic Diseases |
Endocrine System Diseases Hyperinsulinism Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013