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| ID | Type | Description | Link |
|---|---|---|---|
| 03-14463 | Other Identifier | SLV | |
| 15759 | Other Identifier | The Data Inspectorate | |
| 03/05008 | Other Identifier | Biobank |
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| Name | Class |
|---|---|
| Norwegian University of Science and Technology | OTHER |
| Norwegian Foundation for Health and Rehabilitation | OTHER |
| Novo Nordisk A/S | INDUSTRY |
| Norwegian Diabetes Association |
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The purpose of this experimental study is to investigate whether an acute lipid infusion added marine n-3 fatty acids produces effects on insulin sensitivity in subjects with type 2 diabetes, when compared with an acute lipid infusion without marine n-3 fatty acids. Furthermore other effects on intermediary metabolism are tested for.
Evidence indicates that n-3 fatty acids exert several beneficial effects. However, the effects of marine n-3 fatty acids on intermediary metabolism have not been completely elucidated. In a previous study of a high intake of marine n-3 fatty acids during 9 wk we demonstrated reduced insulin sensitivity and altered proportion of carbohydrate vs. fat oxidation in subjects with type 2 diabetes. These results question the use of high doses of n-3 supplements in type 2 diabetes. It is not known to what extent such effects in type 2 diabetes can be reproduced by intravenous administration of n-3 fatty acids and/or whether short term intravenous administration has other effects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intralipid with/without Omegaven | Experimental | Lipid infusion with/without marine n-3 fatty acids |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intralipid +/- Omegaven | Dietary Supplement | Intralipid®: the 500 ml 20% Intralipid will be infused during a hyperinsulinemic clamp. Infusion rate will increase from 50 to 100 ml/hour the first 30 min and then continue at 100 ml/hour for the next 210 min, infusion duration 240 min (4 hours) in all. Intralipid® + Omegaven®: In the 500 ml 20% Intralipid 100 ml will be replaced by 100 ml 10% Omegaven and infused during the hyperinsulinemic clamp as described for Intralipid only. Heparin (0.4 U/kg/min) will be added to both lipid emulsions. Content of marine n-3 fatty acids in 100 ml Omegaven will be 1.25-2.82 g EPA and 1.44-3.09 g DHA (seasoning variations of n-3 fatty acids in fish oil). |
| Measure | Description | Time Frame |
|---|---|---|
| insulin sensitivity | 4 hours |
| Measure | Description | Time Frame |
|---|---|---|
| n-3 fatty acid distribution | 4 hours | |
| insulin secretion | 4 hours | |
| energy metabolism |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Valdemar Grill, M.D. | St. Olavs Hospital, NTNU | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Medicine, Division of Endocrinology, St. Olavs Hospital | Trondheim | N-7006 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19716144 | Result | Mostad IL, Bjerve KS, Basu S, Sutton P, Frayn KN, Grill V. Addition of n-3 fatty acids to a 4-hour lipid infusion does not affect insulin sensitivity, insulin secretion, or markers of oxidative stress in subjects with type 2 diabetes mellitus. Metabolism. 2009 Dec;58(12):1753-61. doi: 10.1016/j.metabol.2009.06.003. Epub 2009 Aug 27. |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| OTHER |
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| 4 hours |
| oxidative stress | 4 hours |
| D004700 | Endocrine System Diseases |