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The study aims to investigate the effects of DPP-4 Is+ metformin versus SGLT2 Is + metformin on the risk of cognitive decline and depression in patients with T2DM.
Older people suffering from Type 2 Diabetes Mellitus possess a major risk for age related cognitive dysfunction and dementia, mainly due to vascular complications.
SGLT2 inhibitors and DPP4 inhibitors are antidiabetic medications, have shown promise not only in glycemic control but also in potentially mitigating cognitive decline and depressive symptoms.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SGLT2 I Group | T2DM patients given SGLT2 Is + metformin added to standard of care |
| |
| DPP4I group | T2DM patients given DPP4Is + metformin added to standard of care |
| |
| Control group | T2DM patients given conventional therapy only |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SGLT2 Is+METFORMIN | Drug | Patients administering SGLT2 Is+metformin added to their treatment for at least the past 12 months |
|
| Measure | Description | Time Frame |
|---|---|---|
| MCI | Changes in Montreal Cognitive Assessment (MoCA) score | Day 1 |
| Depression | Changes in Patient Health Questionnaire-9 (PHQ-9) score | Day 1 |
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Inclusion Criteria:
-
The study participants should meet the following inclusion criteria:
Exclusion Criteria:
1- Those with type1 diabetes or ketoacidosis, insulin therapy, end organ failure as chronic renal failure, liver, and heart failure, previous history of pancreatitis, history of Alzheimer's disease or any brain insult, and finally pregnant or lactating females will be excluded from the study.
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T2DM patients (aged above 55 years)
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Asmaa Abdelfattah | Contact | 002-01095727201 | asmaa_abdelfattah86@yahoo.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beni Suef Hospital | Recruiting | Banī Suwayf | Egypt |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
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| DPP4 Is+metformin | Drug | Patients administering DPP4 I+ metformin added to their treatment for at least the past 12 months |
|
|
| Control group | Drug | patients administered their standard of care without any changes for the past 6 months |
|
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| D008722 | Methods |