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60 samples are take to determine the effects of topical insulin on tear inflammatory mediators interleukin 1a, interleukin 6 and matrix metalloprotenase 9 in diabetics with dry eye disease.
Tear samples are taken to compare the levels of inflammatory markers (IL 1a, IL6 and MMP 9) pre-and post treatment with topical insulin in normal saline compared to standard therapy and normal saline in diabetics with dry eyes and also to correlate the IL 1a, IL6 and MMP 9 levels with clinical outcomes in diabetics with dry eyes treated with topical insulin in normal saline, standard therapy and normal saline
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Topical Insulin | Experimental | Insulin (Actrapid) diluted in normal saline |
|
| Normal Saline | Placebo Comparator | Normal saline eyedrops |
|
| Standard Artifical Tear | Active Comparator | Gutt systane ultra |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Topical Insulin | Drug | Insulin (Actrapid) diluted in Normal Saline is given to participant 1 drop to both eyes 4 times per days for 4 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Biochemical marker 1 | Interleuikn 1-alpha | 4 weeks |
| Biochemical marker 2 | Interleukin 6 | 4 weeks |
| Biochemical marker 3 | Matrix metallo-proteinase 9 | 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Atikah bt Asini, M.D. | Contact | +60178254335 | atikahasini@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Mae-Lynn C. Bastion | PPUKM | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PPUKM | Recruiting | Kuala Lumpur | Malaysia |
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| ID | Term |
|---|---|
| D015352 | Dry Eye Syndromes |
| ID | Term |
|---|---|
| D007766 | Lacrimal Apparatus Diseases |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D007328 | Insulin |
| ID | Term |
|---|---|
| D011384 | Proinsulin |
| D061385 | Insulins |
| D010187 | Pancreatic Hormones |
| D036361 | Peptide Hormones |
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|
| D006728 |
| Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |