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The objective of this study is to evaluate the therapeutic effect of metformin as additional treatment with insulin on non-obese autoimmune diabetes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Metformin + Insulin | Experimental |
| |
| Insulin alone | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Metformin | Drug | Patients will be subscribed with 850mg metformin orally twice daily. Insulin will be continued as routine therapy. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean amplitude of glycemic excursions (MAGE) | MAGE is measured by applying continuous glucose monitoring system (CGMS) on subjects in each follow-up of this 6-month study. | 6 months |
| Change in C-peptide | C-peptide are measured before and 2-hour after a mixed meal tolerance test at each follow-up of this study. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in HbA1c | 6 months | |
| Change in daily insulin dose | 6 months | |
| Change in body mass index (BMI) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhiguang Zhou, M.D./Ph.D | Contact | 86-0731-85292154 | zhouzg@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institute of Metabolism and Endocrinology, Second Xiangya Hospital, Central South University | Recruiting | Changsha | Hunan | 410011 | China |
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| ID | Term |
|---|---|
| D003922 | Diabetes Mellitus, Type 1 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D008687 | Metformin |
| D007328 | Insulin |
| ID | Term |
|---|---|
| D001645 | Biguanides |
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |
| D011384 |
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| Insulin | Drug | Patients will continue insulin therapy following physicians' instructions. |
|
| 6 months |
| Change in lipid profiles | Including triglyceride, total cholesterol, HDL-cholesterol and LDL-cholesterol | 6 months |
| Adverse effects | Adverse effects are recorded at each time-point of the follow-up | 6 months |
| D004700 | Endocrine System Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| Proinsulin |
| D061385 | Insulins |
| D010187 | Pancreatic Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |