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Type 2 diabetes mellitus (T2DM) is an important risk factor of cardio-cerebral vascular disease such as coronary heart disease. GLP-1 is a kind of incretin secreted by the L-cell located in Ileum. It acts as an incretin hormone by protentiating glucose-stimulated insulin release. Recent studies reported that GLP-1 RA can protect the vascular endothelial and prevent vascular from atherosclerosis. Investigators design this study to investigate exenatide's effect on the improvement of the coronary endothelial function by evaluating endothelium dependent diastolic function and testing the vascular endothelial active substance and related inflammatory factors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lifestyle intervention | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Byetta (Exenatide) | Drug | Exenatide treatment: 5 µg twice/day subcutaneous injection for 4 weeks, 10 µg twice/day subcutaneous injection for 8 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Coronary endothelial function | the change of coronary flow velocity reserve (CFVR)(baseline, 12 weeks) | the change of coronary endothelial function(baseline, 12 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| the changes of fasting plasma glucose (FPG) | the changes of fasting plasma glucose (FPG) (baseline, 12 weeks) | the changes of fasting plasma glucose (FPG)(baseline, 12 weeks) |
| the changes of HbA1C |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D000077270 | Exenatide |
| D008687 | Metformin |
| ID | Term |
|---|---|
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D014688 | Venoms |
| D045424 | Complex Mixtures |
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| Glucophage ( Metformin Hydrochloride) | Drug | Metformin 500mg Tid |
|
the changes of HbA1C (baseline, 12 weeks)
| the changes of HbA1C(baseline, 12 weeks) |
| the changes of fasting serum insulin (FINS) | the changes of fasting serum insulin (FINS) (baseline, 12 weeks) | the changes of fasting serum insulin (FINS) (baseline, 12 weeks) |
| the changes of IL-1B | the changes of IL-1B (baseline, 12 weeks) | the changes of IL-1B (baseline, 12 weeks) |
| the changes of IL-6 | the changes of IL-6 (baseline, 12 weeks) | the changes of IL-6 (baseline, 12 weeks) |
| the changes of TNF-α | the changes of TNF-α(baseline, 12 weeks) | the changes of TNF-α(baseline, 12 weeks) |
| D014118 |
| Toxins, Biological |
| D001685 | Biological Factors |
| D001645 | Biguanides |
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |