The Effect of Hyperglycaemia on Local Energy Stores in the Working Muscle in Patients With Type 1 Diabetes Mellitus
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Bern, Switzerland, CH-3010
- Department of Endocrinology, Diabetes and Clinical Nutrition, University Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male
- Aged from 20 to 40 years
- Patients with type 1 diabetes mellitus lasting for at least 5 years (C-Peptide ≤ 0.3 nmol/l in the presence of a plasma glucose level ≥ 7 mmol/L, indicating insulin dependence)
- Insulin delivery by CSII (continuous subcutaneous insulin infusion) for at least 6 months
- Acceptable to good metabolic control, reflected by an HbA1c 5-8%
- Normal insulin sensitivity, reflected by a daily insulin requirement of 0.3-1.0 U/kg body weight
- minimum 30' of moderate exercise 3 times per week
- BMI in the range of 18-25 kg/m2
Exclusion Criteria:
Chronic complications of diabetes:
- Microalbuminuria (Mogensen nephropathy stadium ≥ III)
- Sensory neuropathy (vibration better than 5/8 at the metatarsophalangeal articulation of digitus I)
- Proliferating retinopathy
- No history of macro-vascular complications
- Clinically relevant autonomous neuropathy
- Smoking
- Abnormal thyroid function
- Major depression, psychosis and other severe personality disorders, claustrophobia
- Active neoplasia
- Contraindications to exposure to a 1.5 T magnetic field (pace-makers, osteosynthetic material, etc.)
- Abnormal liver or renal function (creatinine > 130 µmol/L; ASAT and ALAT > 3 times the upper reference limit)
- Excessive alcohol consumption (>60g/d) or drug-abuse
- Refusal to give written informed consent
- Participation in another study
- Patients, who are not suitable for the study according to the study physician
Study Plan
How is the study designed?
Design Details
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
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Paired difference in the time to complete a time trial corresponding to 5 km cycling between euglycaemia and hyperglycaemia
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
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Muscle glycogen content during exercise in the working muscle (pre test vs. post test), in euglycaemia and hyperglycaemia respectively (All following endpoints are paired differences (euglycaemia vs. hyperglycaemia) of paired differences (pre
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IMCL content during exercise in the working muscle
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Rate of appearance of glucose
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Rate of disappearance of glucose
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Rate of glucose infusion
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Total glucose oxidation
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Oxidation of endogenous glucose
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Oxidation of exogenous glucose
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Fat oxidation (calculated via tracer and via RER)
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Rate of perceived exertion
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Serum lactate levels during the exercise test
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Amino acid oxidation
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Serum free fatty acid concentration
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Serum insulin levels
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Serum glucose levels
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Time to achieve hyperglycemia during clamp
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Pretest diary data
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Christoph Stettler, MD, University Hospital of Bern
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 1122 (Jian-jun Li)
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