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Fasting and Postprandial Cerebral Blood Flow in Type 2 Diabetic Patients

15. juni 2021 oppdatert av: Lili Cao, Qianfoshan Hospital
The purpose of this study is to explore the changes of fasting and postprandial cerebral blood flow in patients with type 2 diabetes mellitus. Some studies have proved that non-fasting blood glucose concentration is an independent predictor of ischemic stroke and lacunar infarction. At present, there are differences in cerebral blood flow velocity between diabetic patients and healthy controls. Therefore, it is of certain significance to explore the changes of fasting and postprandial cerebral blood flow in patients with type 2 diabetes mellitus.

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Detaljert beskrivelse

In China, due to the aging population and the increase in obesity, the incidence of diabetes is on the rise. Diabetes is the main independent risk factor for cerebrovascular diseases, especially ischemic stroke. Some studies have proved that non-fasting blood glucose concentration is an independent predictor of ischemic stroke and lacunar infarction. Transcranial Doppler (TCD) can evaluate intracranial blood flow patterns real-time and reliably, and provide information about cerebral hemodynamics, cerebrovascular reactivity and various pathological changes. At present, there are some differences in the study of cerebral blood flow velocity in diabetic patients. The purpose of our study is to determine the changes of cerebral blood flow on an empty stomach and 1 hour after meal in patients with type 2 diabetes. In this study, 20 patients with type 2 diabetes mellitus will be selected as the experimental group. 20 healthy volunteers whose sex and age and BMI matched with the experimental group will be selected as the control group. Fasting blood glucose and TCD will be measured in the two groups, and the data of mean flow velocity (Vm), Gosling's pulsatility index (PI) and cerebrovascular reactivity of cerebral artery will be obtained. One hour after drinking 300ml lukewarm water which has dissolved 75g glucose powder, the blood glucose will be detected again and TCD examination will be performed again. Finally, the data will be collected for statistical analysis.

Studietype

Observasjonsmessig

Registrering (Forventet)

40

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

25 år til 65 år (Voksen, Eldre voksen)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

Patients with type 2 diabetes mellitus and healthy volunteers

Beskrivelse

Inclusion Criteria:

  • Trial group

    1. Study time: June 1, 2021, to January 1, 2022;
    2. Study site: The First Affiliated Hospital of Shandong First Medical University;
    3. 25-65 years old (including upper and lower limits), male or female;
    4. Meeting the diagnostic criteria of type 2 diabetes (according to 1997 WHO's diagnostic criteria for type 2 diabetes);
    5. Fasting blood glucose < 10 mmol/L;
    6. HbA1c ≤ 11.0%.

  • Control group

    1. Study time: June 1, 2021, to January 1, 2022;
    2. Study site: The First Affiliated Hospital of Shandong First Medical University;
    3. Relatively healthy people without type 2 diabetes mellitus diagnosis;
    4. Participants whose sex and age and BMI matched with the experimental group.

Exclusion Criteria:

  • Trial group and Control group

    1. Participants with diabetic retinopathy;
    2. Participants with diabetic neuropathy;
    3. Participants with diabetic nephropathy;
    4. Participants have unilateral or bilateral carotid plaque;
    5. Participants have a history of cardio-cerebrovascular disease;
    6. Participants have a history of respiratory disease;
    7. Participants complicated with hypertension;
    8. Participants complicated with hyperlipidemia;
    9. Participants have a smoking history (including previous smoking history);
    10. Participants complicated with malignant tumor.
    11. Participants are currently taking anticoagulants or vasodilators;
    12. Participants do not sign a written informed consent form.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Kohorter og intervensjoner

Gruppe / Kohort
20 patients with type 2 diabetes mellitus
Fasting blood glucose and TCD will be measured in 20 patients with type 2 diabetes mellitus, and the data of Vm, PI and cerebrovascular reactivity of cerebral artery will be obtained. One hour after drinking 300ml lukewarm water which has dissolved 75g glucose powder, the blood glucose will be detected again and TCD examination will be performed again.
20 healthy volunteers whose sex and age and BMI matched with the experimental group
Fasting blood glucose and TCD will be measured in healthy control group, and the data of Vm, PI and cerebrovascular reactivity of cerebral artery will be obtained. One hour after drinking 300ml lukewarm water which has dissolved 75g glucose powder, the blood glucose will be detected again and TCD examination will be performed again.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Changes of cerebral blood flow on fasting and 1 hour postprandial.
Tidsramme: Data for each participant will be collected within 3 days.
Detect changes in cerebral blood flow after fasting and 1 hour after meal by TCD, including changes in average cerebral blood flow velocity, PI, and cerebrovascular reactivity.
Data for each participant will be collected within 3 days.

Sekundære resultatmål

Resultatmål
Tidsramme
The relationship between the fluctuation of blood glucose and the change of cerebral blood flow.
Tidsramme: Data of all participants will be collected within 6 months.
Data of all participants will be collected within 6 months.

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Qianfoshan Hospital

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Forventet)

1. juli 2021

Primær fullføring (Forventet)

1. desember 2021

Studiet fullført (Forventet)

1. januar 2022

Datoer for studieregistrering

Først innsendt

20. mai 2021

Først innsendt som oppfylte QC-kriteriene

20. mai 2021

Først lagt ut (Faktiske)

24. mai 2021

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

16. juni 2021

Siste oppdatering sendt inn som oppfylte QC-kriteriene

15. juni 2021

Sist bekreftet

1. juni 2021

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • LJB-01

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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