Type 2 Diabetes Clinical Trial
Official title:
Metabolic Causes of Thrombosis in Type 2 Diabetes Mellitus, Question 3
The purpose of this study is to learn more about why patients with diabetes have increased heart attacks, strokes and other illnesses due to blood clots causing blockage of a blood vessel. The proposed protocol will study the separate and combined effects of high glucose and high fats on certain cardiovascular responses in Type 2 DM.
Currently 75-80% of diabetes mellitus (DM) patients die due to thrombotic causes. Data from
the Centers for Disease Control and Prevention released in 2000 indicated that mortality due
to coronary artery disease is decreasing except in individuals with diabetes. Clearly the
disordered metabolism, which includes abnormal metabolism of fats resulting in higher
triglyceride and free fatty acid blood levels, occurring in diabetes predisposes these
individuals to increased thrombotic events. Unless the underlying mechanisms responsible for
these events can be identified, there will be an unprecedented number of diabetic patients
suffering thrombotic episodes in the next 10 years.
The specific aims of this study are to determine the effects of elevated free fatty acids and
hyperglycemia (high glucose)on endothelial function and thrombolytic balance in patients with
type 2 diabetes, and to determine the effects of increased insulin in this setting.
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