Diabetes Mellitus, Type 1 Clinical Trial
Official title:
Effect of Lactobacillus Rhamnosus GG and Bifidobacterium Lactis BB 12 on Beta-cell Function in Children With Newly Diagnosed Type 1 Diabetes - a Randomized Controlled Trial
They are major genera of bacteria that make up the colon flora in human, constitute
intestinal microbial homeostasis, inhibit growth of pathogens, improve the gut mucosal
barrier and modulate local and systemic immune responses. Changes in gut microbiota can
influence the immune system by increasing gut permeability, intestinal inflammation, and
impaired oral tolerance in type 1 diabetes.Taken together, the data imply that
bacteriotherapy may potentially be used as a tool to modulate the immune system for
preventing islet destruction. Supplementation of Lactobacillus rhamnosus GG and
Bifidobacterium lactis BB12 improved blood glucose control in normoglycaemic pregnant women
and reduced the frequency of gestational diabetes mellitus
Aim of the study:
The effect of Lactobacillus rhamnosus GG and Bifidobacterium lactis BB12 on beta-cell
function in children with newly diagnosed type 1 diabetes: a randomized, double blind,
placebo-controlled trial.
Primary end point:
Area under the curve (AUC) of c-peptide level during during fasting and at 30,60,90,120 min
following the start of the meal
Intervention:
Included patients will be randomly assigned to receive a combination of Lactobacillus
rhamnosus GG and Bifidobacterium lactis BB12 (Probiotics Group ) or placebo (Placebo Group )
during six months.
The expected results:
Beneficial effect of Lactobacillus rhamnosus GG and Bifidobacterium lactis BB12 on beta-cell
function shown in the properly performed, methodologically accurate study would create a
rationale for its routine use in patients with newly diagnosed type 1 diabetes.
Intervention:
At the 6-month follow-up visit will be evaluated adherence and occurrence of side effects of
the study procedure. The outcome measures will be assessed at the beginning of the study, and
at the 6 and 12-month follow-up visit.
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