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The Correlation Between the Retrobulbar Hemodynamics and Intrarenal Hemodynamics in T2DM Patients During the Early Period

17. juni 2016 opdateret af: Jin-song Kuang, Fourth People's Hospital of Shenyang

Objective: The main target of this study was to research the early changes of retrobulbar and intrarenal hemodynamics, then to research the correlation between them in type 2 diabetes (T2DM) patients without diabetic kidney disease (DKD) and diabetic retinopathy (DR).

Method: 35 T2DM patients (diabetes group) without vascular complications and 30 healthy people (control group) were recruited to research the early changes of renal function, retrobulbar and intrarenal hemodynamics, and then to research the correlation between them. The primary endpoints were the intrarenal hemodynamic (bilateral kidney RI) in bilateral interlobular renal arteries were evaluated using Doppler Sonographic; the secondary endpoints were the retrobulbar hemodynamics RI in the bilateral central retinal artery (CRA), posterior ciliary artery (PCA), and arteria ophthalmica (OA) were evaluated using color doppler imaging (CDI); the tertiary endpoints were the biochemical endpoints: blood-fat (TC, HDL-C, LDL-C, and TG), FPG, 2hPG, HbA1c, and renal function parameters (BUN, Cr, and GFR); in addition, the albumin excrete rate (AER), urinary albumin/creatinine ratio (UACR) were measured.

Studieoversigt

Status

Afsluttet

Intervention / Behandling

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

66

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

35 år til 66 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

The investigators selected 45 T2DM patients (25 males, 20 females) without microangiopathy (DR and DKD) as diabetes group and 38 healthy people (21 males, 17 females) as control group from the diabetic outpatient clinic in Shenyang the Fourth Hospital of People, but only 34 patients (19 males, 15 females) in the diabetes group and 32 healthy people (17 males, 15 females) can be researched in our study, all the participants were the Chinese Hans. All patients were provided a diet and exercise program by professional nutritionists.

Beskrivelse

Inclusion Criteria:

  1. The patients were diagnosed with T2DM according to the guidelines of the American Diabetes Association ;
  2. No smoking history, pulmonary disease, cold, nor pulmonary infection within a fortnight;
  3. Did not have hepatopathy, nephropathy, hyperuricemia, and gastrointestinal disease; and
  4. Likely to have good compliance and able to visit our hospital for periodic assessments.

Exclusion Criteria:

  1. T1DM, gestation and lactation;
  2. Renal inadequacy,hypohepatia,and heart failure;
  3. Intensive care with insulin treatment;
  4. The patients combined with DR and hypertension (antihypertensive drugs were used);
  5. Patients with other eye conditions that could affect the blood flow, such as high degree myopia, maculopathy of any origin, glaucoma, and those with a history of laser treatment or intraocular surgery;
  6. The patients combinated with DKD;
  7. Patients with other renal conditions that could affect the blood flow, such as urolithiasis, urinary infection, and renal cyst (diameter > 3 cm);
  8. Cholesterol-lowering drugs can not control the blood-fat (TC > 250 mg/dl, HDL-C < 30 mg/dL, LDL-C > 170 mg/dl, TG > 200 mg/dl) adequately.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
diabetes group
34 T2DM patients without vascular complications as diabetes group
control group
32 healthy people were recruited as control group

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Intrarenal hemodynamic (bilateral kidney RI) in bilateral interlobular renal arteries were evaluated using Doppler Sonographic in 34 patients
Tidsramme: 3 weeks
RI(resistivity index)
3 weeks
Retrobulbar RI in the bilateral Retrobulbar artery were evaluated using color doppler imaging (CDI) in 34 patients
Tidsramme: 3 weeks
RI(resistivity index),Retrobulbar artery[central retinal artery (CRA), posterior ciliary artery (PCA), and arteria ophthalmica (OA)]
3 weeks
The correlation between the bilateral retrobulbar RI and bilateral kidney RI in 34 patients
Tidsramme: 3 weeks
RI(resistivity index)
3 weeks

Samarbejdspartnere og efterforskere

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Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. februar 2016

Primær færdiggørelse (Faktiske)

1. maj 2016

Studieafslutning (Faktiske)

1. maj 2016

Datoer for studieregistrering

Først indsendt

12. juni 2016

Først indsendt, der opfyldte QC-kriterier

17. juni 2016

Først opslået (Skøn)

20. juni 2016

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

20. juni 2016

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

17. juni 2016

Sidst verificeret

1. juni 2016

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 20160204
  • F11-262-9-25 (Natural Science Foundation of Shenyang)

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Kliniske forsøg med Diabetes mellitus, type 2

Kliniske forsøg med Color doppler imaging

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