the study objective: to explore the efficacy of acarbose and metformin on glucose fluctuations as add on therapy in type 2 diabetes patients inadequately controlled with premix insulin.
Study Design:Prospective, parallel group, active-control, randomized, open-label. Study Organization:Single-center in China. Endocrinology and metabolism department of 6th affiliated hospital of Shanghai Jiaotong university Study Population: Type 2 diabetes inadequately controlled by premix-insulin therapy,40 patients per arm(acarbose add on/ metformin add on) both acarbose and metformin are widely used with premix-insulin in clinical practice, for the better glucose control and lower hypoglycemia incident. Acarbose delay the absorption of digested carbohydrates from the small intestine and thus lower both postprandial glucose and insulin levels which sequently improve glucose fluctuation Metformin improve the insulin resistance reduce the gluconeogenesis, glucose output and thus lower the fasting glucose
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
80
Premix-insulin(human insulin or analog) treatment will continue
500 mg tid by Merck
100mg tid by Bayer
the 6th affliliated hospital of Shanghai Jiaotong university
Shanghai, Shanghai Municipality, China
RECRUITINGMAGE: mean amplitude of glycemic excursion/MODD: mean of daily differences
Time frame: 12 weeks after treatment
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