Unique ID issued by UMIN | UMIN000030766 |
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Receipt number | R000035130 |
Scientific Title | The multifaceted investigation for the beneficial effect of improvement of postprandial hyperglycemia on development of frailty or sarcopenia |
Date of disclosure of the study information | 2018/02/01 |
Last modified on | 2021/07/16 11:04:58 |
The multifaceted investigation for the beneficial effect of improvement of postprandial hyperglycemia on development of frailty or sarcopenia
The beneficial effect of improvement of postprandial hyperglycemia on frailty or sarcopenia
The multifaceted investigation for the beneficial effect of improvement of postprandial hyperglycemia on development of frailty or sarcopenia
The beneficial effect of improvement of postprandial hyperglycemia on frailty or sarcopenia
Japan |
type 2 diabetes mellitus
Endocrinology and Metabolism | Geriatrics |
Others
NO
To clarify the association between glycemic variability and frailty or sarcopenia and if improving postprandial hyperglycemia can prevent decreasing muscle mass and strength, physical functions and cognitive or psychological functions
Efficacy
The changes of phenotypes related to frailty or sarcopenia according to the interventions for improvement of postprandial hyperglycemia 6 months after initiation of interventions
1) the relationship between the indexes of glycemic variability (SD, MAGE(Mean Amplitude Glycemic Excursions), MODD(Mean of Daily Difference of Blood Glucose)) and phenotypes related to frailty or sarcopenia
2) changes of HbA1c and fasting blood glucose level
3) changes of the indexes of glycemic variability (SD, MAGE, MODD)
4) changes of values of comprehensive geriatric assessments associated with improvement of postprandial hyperglycemia
5) changes of balancing abilities associated with improvement of postprandial hyperglycemia
6) changes of muscle thickness and echo intensity by muscle ultrasonography associated with improvement of postprandial hyperglycemia
7) changes of serum concentrations of myokines (IGF-1, IL-6) associated with improvement of postprandial hyperglycemia
8) changes of urine concentrations of pentosidine and 8-OhdG associated with improvement of postprandial hyperglycemia
9) falls during this investigation
10) adverse events and side effects
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
No treatment
2
Prevention
Medicine | Behavior,custom |
Dietary & Exercise intervention
Dietary:Eating vegetables or proteins before cardohydrates or taking unsaturated fatty acid
Exercise:Resistance training for 20 minutes about 45 minutes after every meal
Drug intervention:GLUBES combination tablet, 3times a day just before every meals)
65 | years-old | <= |
Not applicable |
Male and Female
1) the subjects aged 65 years or older with type 2 diabetes treated with DPP-4 inhibitors
2) the subjects diagnosed as 'pre-fraility' by CHS classification of frailty
3) the subjects treated without or can stop treatment with the drugs as follows:sulfonylureas, glinides, alpha-glucosidases and GLP-1 analogs
4) the subjects with 200mg/dl or over of adlib blood glucose level (>twice a week)
1) the subjects with type 1 diabetes
2) the subjects with HbA1c less than 7.5%
3) the subjects with uncontrolled hypertension (SBP >= 160mmHg)
4) the subjects with effort angina, chronic heart failure and tachyarrhythmia
5) the subjects with chronic respiratory failure
6) the subjects not able to walk by themselves
7) the subjects with chronic kidney disease
8) the subjects with severe hepatic dysfunction
9) the subjects not preserved basic ADL and instrumental ADL
10) the subjects with cognitive impairment
11) the subjects with gastrointestinal surgery
12) the subjects participating other clinical investigations
30
1st name | Ken |
Middle name | |
Last name | Sugimoto |
Osaka University Graduate School of Medicine
Geriatric and General Medicine
565-0871
2-2, Yamada-oka, Suita, Osaka
06-6879-3852
sugimoto@geriat.med.osaka-u.ac.jp
1st name | Hiroshi |
Middle name | |
Last name | Akasaka |
Osaka University Graduate School of Medicine
Geriatric and General Medicine
565-0871
2-2, Yamada-oka, Suita, Osaka
06-6879-3852
http://www.med.osaka-u.ac.jp/pub/geriat/www/jmeder.html
akasaka@geriat.med.osaka-u.ac.jp
Geriatric and General Medicine, Osaka University Graduate School of Medicine
Kissei Pharmaceutical Co., Ltd.
Profit organization
Institutional Review Board, Osaka University Hospital
2-2, Yamadaoka, Suita, Osaka
06-6210-8296
rinri@hp-crc.med.osaka-u.ac.jp
NO
2018 | Year | 02 | Month | 01 | Day |
Unpublished
Completed
2018 | Year | 01 | Month | 11 | Day |
2018 | Year | 12 | Month | 17 | Day |
2018 | Year | 02 | Month | 01 | Day |
2021 | Year | 03 | Month | 31 | Day |
2018 | Year | 01 | Month | 11 | Day |
2021 | Year | 07 | Month | 16 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035130
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