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The investigator study evaluate the effect of different lipid lowering agents on the progression of diabetic retinopathy and other reduction of cardiovascular risk of diabetic patients
The investigator study compare the effect of lipid lowering agent on the enhancement of visual acuity and on reduction of macular edema in patients with diabetic retinopathy and also compare their effect on reduction of cardiovascular risk on diabetic patients via assessment of ASCVD risk score
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Receive oral hypoglycemic +omega 3 | Active Comparator | Eicosapentanoic acid + standard treatment |
|
| Receive oral hypoglycemic +statin | Active Comparator | Simvastatin + standard treatment |
|
| Receive oral hypoglycemic +fibrate | Active Comparator | Fenofibrate +standard treatment |
|
| Receive oral hypoglycemic only | No Intervention | Standard treatment only |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Simvastatin 40mg | Drug | Drugs that lower lipid level |
|
| Measure | Description | Time Frame |
|---|---|---|
| The 80 participants will be evaluated through reduction of macular edema | assessed by ocular coherence tomography | 18 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| The 80 participants will be evaluated through reduction of cardiovascular risk | assessed by ASCVD risk score | 18 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D003930 | Diabetic Retinopathy |
| ID | Term |
|---|---|
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
| D003925 | Diabetic Angiopathies |
| D014652 | Vascular Diseases |
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| ID | Term |
|---|---|
| D019821 | Simvastatin |
| D019161 | Hydroxymethylglutaryl-CoA Reductase Inhibitors |
| D011345 | Fenofibrate |
| D058607 | Fibric Acids |
| D015525 | Fatty Acids, Omega-3 |
| ID | Term |
|---|---|
| D008148 | Lovastatin |
| D009281 | Naphthalenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
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| Fenofibrate 200mg | Drug | Drugs that lower lipid levels |
|
|
| Omega 3 fatty acid | Drug | Drugs that lower lipid levels |
|
|
| D002318 |
| Cardiovascular Diseases |
| D048909 | Diabetes Complications |
| D003920 | Diabetes Mellitus |
| D004700 | Endocrine System Diseases |
| D006844 |
| Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D011083 | Polycyclic Compounds |
| D000924 | Anticholesteremic Agents |
| D000960 | Hypolipidemic Agents |
| D000963 | Antimetabolites |
| D045504 | Molecular Mechanisms of Pharmacological Action |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
| D004791 | Enzyme Inhibitors |
| D057847 | Lipid Regulating Agents |
| D045506 | Therapeutic Uses |
| D058610 | Isobutyrates |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D010647 | Phenyl Ethers |
| D004987 | Ethers |
| D001577 | Benzophenones |
| D001555 | Benzene Derivatives |
| D010636 | Phenols |
| D007659 | Ketones |
| D004042 | Dietary Fats, Unsaturated |
| D004041 | Dietary Fats |
| D005223 | Fats |
| D008055 | Lipids |
| D005231 | Fatty Acids, Unsaturated |
| D005227 | Fatty Acids |
| D005395 | Fish Oils |
| D009821 | Oils |