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The purpose of this study is to evaluate changes of body composition induced by Sodium-glucose cotransporter-2 (SGLT2) inhibitor and its metabolic consequence in Korean type 2 diabetes (T2D).
Sodium-glucose cotransporter-2 (SGLT2) inhibitor increases urinary excretion of glucose, promoting glycemic control and weight loss. However, it is unclear whether weight loss is attributed to decrease in fat components and associated with favorable changes in metabolic profile. The purpose of this study is to evaluate changes of body composition induced by SGLT2 inhibitor and its metabolic consequence in Korean type 2 diabetes (T2D).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | Active Comparator | up-titration of standard medication including monotherapy or combination of Metformin, Sulfonylurea, DPP4 inhibitor |
|
| Study group | Experimental | addition of empagliflozin 10mg qd on standard oral antihyperglycemic agents |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Empagliflozin 10 MG | Drug | addition of empagliflozin 10 MG |
|
| Measure | Description | Time Frame |
|---|---|---|
| HbA1c | glycemic control | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Biochemical parameters | Ketone body concentration | 6 months |
| Body weight | Weight change | 6 months |
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Inclusion Criteria:
Patients with type 2 diabetes Age: 20-79 years BMI ≥ 20 kg/m2 eGFR ≥ 45
Exclusion Criteria:
Patients with type 1 diabetes Secondary diabetes due to Cushing diseases, acromegaly Insulin user BMI < 20 kg/m2 eGFR < 45 Malignancy
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yujin N Shin, MD | Contact | 82-31-787-7035 | 82317877035 | 54256@snubh.org |
| Soo N Lim | Contact | 82317877035 | 82317877035 | limsoo@snu.ac.kr |
| Name | Affiliation | Role |
|---|---|---|
| Soo N Lim, MD, PHD | Seoul National University Bundang Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Bundang Hospital | Recruiting | Seongnam-si | Gyeonggi-do | 463-707 | South Korea |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| C564245 | Platelet Glycoprotein IV Deficiency |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| C570240 | empagliflozin |
| D000077203 | Sodium-Glucose Transporter 2 Inhibitors |
| D007004 | Hypoglycemic Agents |
| ID | Term |
|---|---|
| D045504 | Molecular Mechanisms of Pharmacological Action |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
| D045505 | Physiological Effects of Drugs |
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| Hypoglycemics Oral | Drug | dose escalation of hypoglycemics oral |
|
|
| Body fat | fat change | 6 months |
| Systolic and diastolic blood pressures | blood pressure change | 6 months |
| Lipid profile | Triglyceride | 6 months |
| Insulin resistance | HOMA-IR | 6 months |