About this trial
The primary purpose of this study is to evaluate the effects of oral berberine (BBR) and inulin combined with insulin therapy on diabetes care in patients with LADA.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diabetes diagnosed according to the report of WHO in 1999;
Meet the Chinese Diabetes Society diagnostic criteria (2012) for LADA: (1)glutamic acid decarboxylase antibody (GADA) positive; (2) age at diagnosis ≧ 18 years old; (3) independent on insulin for more than 6 months after diagnosis;
Aged between 18 and 70 years old;
7.0%≤HbA1c ≤10.0%;
Disqualifiers
Severe liver dysfunction (ALT and AST greater than 3 times the upper limit of detection);
eGFR < 50ml/(min • 1.73 m2);
Evidence of acute or chronic infection affecting glycemic control within 4 weeks prior to the first visit;
History of any malignancy;
Trial design
Parallel
Treatments tested in this trial
Berberine
Drug0.6g (6 pills) of Berberine tablets administered twice a day orally before meal for 3 months
Inulin
Drug0.6g (6 pills) of Inulin tablets administered twice a day orally before meal for 3 months
Berberine placebo tablets
Drug0.6g (6 pills) of Berberine placebo tablets administered twice a day orally before meal for 3 months
Inulin placebo tablets
Drug0.6g (6 pills) of Inulin placebo tablets administered twice a day orally before meal for 3 months
Treatment groups
Trial outcomes
Primary outcomes
Change in HbA1c
The primary outcome measure is the change in mean HbA1c level, reflecting the blood glucose management status of the patients.
Secondary outcomes
Change in C-peptide
C-peptide are measured before and after a mixed meal tolerance test.
Incidence of acute and chronic diabetes complications
In this study, the chronic diabetes complications recorded mainly include diabetic macrovascular disease, diabetic nephropathy, diabetic retinopathy and peripheral neuropathy.
Change in gut permeability
Gut permeability is measured by amount of mannitol and lactulose in urine.
Change in gut microbiota composition
The changes of gut microbiota are mainly detected by multi omics technology.
Sponsors and contacts
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