Taiwan Diabesity Study:Comparison With Mild Obese T2DM Patients Who Under Metabolic Surgery
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Observation of natural course of Diabetes Mellitus Type 2.
- Who it may be relevant to
- Registry conditions: Diabetes. Basic parameters: 20 years — 67 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Taiwan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
T2DM has become a major health burden for our society. More and more data support the relative effectiveness of gastrointestinal metabolic surgery, known as bariatric surgery, in the remission of T2DM of BMI less35. The metabolic surgery guidelines of IDF recommend BMI over 27.5 in Asia. The evidence reviewed above strongly points to the need for a large randomized, controlled trial to evaluate the risks and benefits of obesity surgery in the treatment of type 2 diabetes Mellitus. This study is expected to provide very significant findings about the natural course of diabetes in obese diabetic patients.
Detailed description
This study will recruit 200 obese T2DM patients at MSGH, for a total of 1000 in Taiwan. The inclusion criteria are those with T2DM more than 6 months, under medical management in diabetes center, BMI over 25, age between 20 and 67 years. The goals of this study are to evaluate the nature course of the diabetes for 10 years. The primary outcomes for the treatment will be assessed every year after intervention and will be composite of CVD risk factor; specifically, the proportion of patients with HbA1c \< 7%, LDL cholesterol \< 100 mg/dl and systolic blood pressure \< 140 mmHg.
Interventions
- Other Observation of natural course of Diabetes Mellitus Type 2
Primary outcome measures
- Evaluate the natural course of the diabetes of obese patients over a period of 10 years [Time frame: ten years]
Eligibility criteria
Inclusion criteria
- Diabetic Mellitus Type 2 medically controlled at Diabetes Center for at least six months
- BMI over 25
- age between 20 and 67
Exclusion criteria
- Diagnosed with cancer within past five years
- HIV positive
- Active TB patients
- CV events in past six months
- serum cretinine over 2.0 mg/dl
- C-peptide bellow 1.0 ng/ml in past three months
- Diabetic retinopathy; vision bellow 0.1
- Cushing's syndrome
- History of organ transplant
- History of bariatric surgery
- History of alcohol or drug dependency in past five years
- Psychological problems likely to interfere with adherence to protocol
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Case-only
Study locations
Taiwan · 1 center
- Min-Sheng General Hospital — Taoyuan City
Identifiers
NCT: NCT02166372 · MSIRB2014009