N/A
N=42
Quantitative in Vivo Biomarkers of Oxidative Stress in Diabetes
Type 2 Diabetes · Oxidative Stress
Bottom Line
View on ClinicalTrials.gov: NCT00845130 ↗Enrolled (actual)
42
Serious AEs
0.0%
Results posted
Jul 2016
Primary outcome: Primary: Concentration of Vitamin C in Type 2 Diabetic Patients. — 1.1; 1.2 umol/g tissue
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- ascorbic acid (Vitamin C) (Biological)
- Age
- Adult · 30+ yrs
- Sex
- All
- Sponsor
- In-Young Choi, Ph.D.
- Primary completion
- Dec 2014
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Concentration of Vitamin C in Type 2 Diabetic Patients. |
1.1; 1.2 | — |
| PRIMARY Quantify the Effect of Chronic Hyperglycemia on Cellular Uptake of Vitamin C Across the Blood-brain Barrier |
1.1; 1.4 | — |
Summary
Oxidative stress has been implicated in the development and complications of diabetes. Hyperglycemia and insulin resistance or insufficiency in diabetes can cause oxidative stress by excessive reactive oxygen species and can increase damage and alter antioxidant status in nerve cells. Antioxidant defense mechanisms protect against damage or restore oxidative damage. Glutathione, a powerful antioxidant plays a key role in the first line of antioxidant defense and seems to be a sensitive indicator of oxidative stress in various diseases such as diabetes. Glutathione functions in the regeneration of vitamin C which is another crucial antioxidant. Both hyperglycemia and insulin insufficiency inhibit uptake of vitamin C. The brain contains measurable amounts of glutathione that contribute to the antioxidant pool in the brain and guards against disease processes that are caused by oxidative stress. Since the brain is the most highly oxidative organ in the body and highly susceptible to oxidative stress, with increasing impact on diabetes, biomarkers of oxidative stress in the brain through the use of novel magnetic resonance imaging techniques for glutathione and vitamin C will be studied.
Eligibility Criteria
Inclusion Criteria
- 30-55 years of age
- Diabetic being treated with diet and any of the following: insulin, or other diabetic specific drug such as metformin, sulfonylurea or sitagliptin.
- Healthy subjects age and gender matched to diabetes patient
Exclusion Criteria
- Use of any anti-inflammatory or antioxidant medications other than small daily doses of Aspirin (ASA:325 mg) and a daily multivitamin
- Co-existing chronic inflammatory conditions such as Crohn's disease, rheumatoid arthritis, chronic or acute infections
- Any concurrent neurological disease except for mild diabetic autonomic or peripheral neuropathy
- Postmeal C peptide > 0.3 mg/dl
- Normal healthy subjects who have any abnormal inflammatory marker, hyperlipidemia, or concurrent disease
- Diseases associated with abnormal glutathione metabolism
- Elevated serum creatinine levels, abnormal complete blood count (CBC), abnormal liver function tests or elevated serum homocysteine
- Morbid obesity
- History of hypoglycemic unawareness
- Pregnant women and women who are breastfeeding
- Patients with poor venous access
- Smokers
- Subject who consumes an excess of alcohol or abuses drugs
- History or or presence of bleeding disorder or use of anticoagulant drug
- History of oxalate renal calculi
Data sourced from ClinicalTrials.gov (NCT00845130). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.