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Clinical Trial Details

Trial ID: L5325
Source ID: NCT00753142
Associated Drug: Intralipid 20%
Title: Mechanism Underlying Beta-cell Failure in Obese African Americans With History of Hyperglycemic Crises
Acronym:
Status: COMPLETED
Study Results: YES
Results: https://ClinicalTrials.gov/show/NCT00753142/results
Conditions: Diabetes Mellitus, Type 2
Interventions: DRUG: Intralipid 20%|DRUG: Glucose infusion
Outcome Measures: Primary: First-Phase Insulin Release (FPIR), An arginine stimulation test was used to evaluate beta-cell function and insulin secretion. Increased glucose in the blood causes insulin to be released, beginning with a spike in insulin in the first 10 minutes and plateauing 2 to 3 later. Diminished first-phase insulin release is an early indicator of beta-cell dysfunction. Two sequential arginine stimulation tests were performed, the first set before and the second after completion of the 20-hour dextrose infusion. The first-phase insulin release (FPIR) was calculated as the sum of the insulin levels at 2, 3, 4, and 5 minutes after the arginine infusion. FPIR is expected to rise after the dextrose (glucose) infusion and FPIR generally rises less in persons with impaired glucose tolerance., Hour 0, Hour 20 | Secondary: Number of Participants With Beta-cell Failure, Pancreatic beta-cells can adapt to insulin resistance during the early stages of diabetes but continuous exposure of beta-cells to prolonged hyperglycemia can cause irreversible damage due to glucotoxicity. This study aimed to evaluate whether hyperglycemia-induced reduced beta-cell failure was the result of beta-cell exhaustion or beta-cell desensitization, however, no participants experienced beta-cell failure so this original analysis could not be performed., Hour 20
Sponsor/Collaborators: Sponsor: Emory University | Collaborators: American Diabetes Association
Gender: ALL
Age: ADULT, OLDER_ADULT
Phases:
Enrollment: 28
Study Type: INTERVENTIONAL
Study Designs: Allocation: NON_RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: TREATMENT
Start Date: 2004-03
Completion Date: 2009-12
Results First Posted: 2014-08-01
Last Update Posted: 2018-10-12
Locations: Grady Memorial Hospital, Atlanta, Georgia, 30303, United States
URL: https://clinicaltrials.gov/show/NCT00753142