Insulin Resistance Clinical Trial
Official title:
Effects of Phlebotomy on Insulin Sensitivity in Insulin Resistance-associated Hepatic Iron Overload Patients
The purpose of this study is to evaluate efficacy of phlebotomy on insulin sensitivity as evaluated by euglycemic-hyperinsulinic clamp in insulin resistance-associated hepatic iron overload patients.
The main objective of this study is to evaluate in patients with HSD effects of treatment
with phlebotomy rules with lifestyle and dietary rules versus lifestyle modifications alone
on peripheral insulin resistance (assessed by hyperinsulinemic clamp).
Secondary objectives are:
- to study in all patients with HSD the relationship between the amount of iron
intrahepatic and degree of peripheral insulin resistance and liver before therapeutic
intervention.
- to study and compare the effects of phlebotomy treatment versus no treatment on:
- Plasma levels of adipocytokines,
- Plasma concentrations of inflammatory markers and markers of insulin resistance,
- The serum ferritin,
- The post-hepatic clearance of insulin,
- The surface of the abdominal visceral fat and subcutaneous abdominal.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Treatment
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