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The purpose of this study is to determine the effect of GLP-1 receptor agonist on inducing diabetes remission in newly diagnosed type 2 diabetes who are overweight or obese
Most of type 2 diabetes are characterized by being overweight or obese mainly caused by insulin resistance. GLP-1 receptor agonist has been proved to help to lose weight and improve insulin resistance. In this study, we suppose that GLP-1 receptor agonist has the effect of inducing diabetes remission in newly diagnosed type 2 diabetes who are overweight or obese and has its advantages
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exenatide and Metformin | Experimental | Exenatide in Combination With Metformin |
|
| BIAsp30 and Metformin | Active Comparator | BIAsp30 in Combination With Metformin |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exenatide | Drug | subcutaneous injection,5ug twice a day the first month,10ug twice a day the second and third month |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of Inducing Diabetes Remission | At the end of 12-week treatment | |
| Change of Rate of Maintaining Diabetes Remission | 3,6,12,24,36 months after 12-week treatment | |
| Time of Maintaining Diabetes Remission | up to 36 months after 12-week treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Change of Blood Pressure | Baseline and 0,3,6,12,24,36 months after 12-week treatment | |
| Change of Heart Rate | baseline and 0,3,6,12,24,36 months after 12-week treatment | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Guixia Wang, PhD | Contact | gwang168@jlu.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Guixia Wang, PhD | The First Hospital of Jilin University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| First Hospital of Jilin University | Changchun | Jilin | 130021 | China |
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| BIAsp30 | Drug | subcutaneous injection,fit dosage twice a day in three months |
|
| Metformin | Drug | oral,0.85g,twice a day in three months |
|
| Change of Weight |
| baseline and 0,3,6,12,24,36 months after 12-week treatment |
| Change of Waistline | baseline and 0,3,6,12,24,36 months after 12-week treatment |
| Change of Glycosylated Hemoglobin | baseline and 0,3,6,12,24,36 months after 12-week treatment |
| Change of Pancreatic Beta-cell Function | Pancreatic Beta-cell Function will be evaluated by insulin releasing test. The fasting and 2-hour postprandial plasma glucose concentrations and serum insulin concentrations will be tested. | baseline and 0,3,6,12,24,36 months after 12-week treatment |
| Change of Insulin Resistance Index | baseline and 0,3,6,12,24,36 months after 12-week treatment |
| The Incidence of Hypoglycemia | During the 12-week treatment |
| The Incidence of Diabetic Retinopathy | up to 36 months after 12-week treatment |
| The Incidence of Diabetic Nephropathy | up to 36 months after 12-week treatment |
| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| D000077270 | Exenatide |
| C557564 | insulin aspart, insulin aspart protamine drug combination 30:70 |
| D008687 | Metformin |
| ID | Term |
|---|---|
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D014688 | Venoms |
| D045424 | Complex Mixtures |
| D014118 | Toxins, Biological |
| D001685 | Biological Factors |
| D001645 | Biguanides |
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |
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