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Objectives: To investigate the treatment effect between insulin,metformin and Liraglutide; in Type 2 Diabetes in our hospital, in order to investigate the possible mechanism about telomere-telomerase system and Par-4.
160 Type 2 diabetes in our hospital will divide into 4 groups: group A (40 healthy volunteers), group B (40 patients who give basal and insulin treatment, group C(40 patients who give basal and Liraglutide treatment),group D(40 patients who give basal and metformin treatment). The age, height, weight, blood glucose, glycosylated hemoglobin A1c(HbA1c),homeostasis model assessment(HOMA-IR), lipid, blood pressure, course of disease, telomere length,telomerase activity will record respectively. And High-sensitive C-reactive protein (HsCRP), Par-4, GST,SOD,GSH-PX,ATF-6,CHOP,XBP-1 and Tumor necrosis factor-α(TNF-α) will detect as Baseline. After each group's treatment, Change from baseline of all indexes will record, Multifactor logistic regression will be analyzed the correlations between each positive indexes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| insulin | Experimental | basic insulin treatment:glargine 10-30 units once a day based on the glucose control for 6 months. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Liraglutide | Drug | GLP-1 analog (1.2mg-1.8mg/day) treatment for 6 months |
|
| Measure | Description | Time Frame |
|---|---|---|
| physiological parameter:glycosylated hemoglobin A1c | up to 6 months;;HbA1c was measured by a certified hospital laboratory according to established and approved protocols | up to 6 months; |
| Measure | Description | Time Frame |
|---|---|---|
| physiological parameter:the concentration of Par-4 | up to 6 months;;secretary Par-4 were detected with Par-4 ELISA kit (MBL, USA) | up to 6 months; |
| physiological parameter:telomere length | up to 6 months;;Telomere length was measured via fluorescence in situ hybridization using flow cytometry |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Southwest Hospital of the Third Military Medical University | Recruiting | Chongqing | Chongqing Municipality | 400038 | China |
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| ID | Term |
|---|---|
| D000069450 | Liraglutide |
| D008687 | Metformin |
| ID | Term |
|---|---|
| D052216 | Glucagon-Like Peptide 1 |
| D004763 | Glucagon-Like Peptides |
| D052336 | Proglucagon |
| D005768 | Gastrointestinal Hormones |
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| Metformin | Drug | Metformin(1500mg-2000mg/day) treatment for 6 months |
|
|
| up to 6 months; |
| physiological parameter:telomease activity | up to 6 months;;Telomerase activity was measured using the TeloTAGGG Telomerase PCR ELISAPLUS kit (Roche Diagnostics, Mannheim, Germany) | up to 6 months; |
| physiological parameter:TNF-α | up to 6 months, TNF-a levels were measured by commercial ELISA kit following the manufacturer's instructions;TNF-a levels were measured by commercial ELISA kit following the manufacturer's instructions;(MBL, USA) | up to 6 months; |
| D006728 |
| Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D001645 | Biguanides |
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |