Objectives: To investigate the treatment effect between Gastric Bypass and Exenatide in Type 2 Diabetes in our hospital, in order to investigate the possible mechanism of Gastric Bypass and Exenatide.
Methods: 60 Type 2 diabetes in our hospital will divide into 3 groups: group A (20 patients who give basal treatment), group B (20 patients who give basal and Exenatide treatment, group C(20 patients who give basal and Gastric Bypass treatment). The age, height, weight, blood glucose, glycosylated hemoglobin A1c(HbA1c),homeostasis model assessment(HOMA-IR), lipid, blood pressure, course of disease, ejection fraction (EF), fractional shortening(FS), diameter of left ventricle in late diastolic stage(LVEDd), the thickness of the ventricular septa(IVSD) and the posterior wall of the right ventricle in late diastolic stage (LVPWd) will record respectively. Left ventricular mass index (LVMI), relative wall thickness (RWT) will calculate and High-sensitive C-reactive protein (HsCRP), adiponectin and Tumor necrosis factor-α(TNF-α) will detect as Baseline. After each group's treatment, Change from baseline of all indexes will record, Multifactor logistic regression will be analyzed the correlations between each positive indexes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
basal treatment and Gastric Bypass
basal treatment and Exenatide
Endocrine Department, the south west Hospital of the Third Military Medical University
Chongqing, Chongqing Municipality, China
RECRUITINGClinical events
Participant with stroke or Myocardial infarction or acute diabetic complication or Liver and renal failure or death or other Adverse Events.
Time frame: 1 year
echocardiography
Left ventricular mass index (LVMI)
Time frame: 1 year
echocardiography
relative wall thickness (RWT)
Time frame: 1 year
Blood testing
High-sensitive C-reactive protein (HsCRP)
Time frame: 1 year
Blood testing
homeostasis model assessment(HOMA-IR)
Time frame: 1 year
Blood testing
adiponectin
Time frame: 1 year
Blood pressure monitoring
blood pressure
Time frame: 1 month
Blood testing
glycosylated hemoglobin A1c(HbA1c)
Time frame: 1 year
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