Deep Phenotyping of Bone Disease in Type 2 Diabetes and Relations to Diabetic Neuropathy

RecruitingOBSERVATIONAL
Enrollment

300

Participants

Timeline

Start Date

February 24, 2023

Primary Completion Date

April 30, 2026

Study Completion Date

April 30, 2026

Conditions
Type 2 DiabetesBone DiseaseOsteoporosisDiabetic Neuropathy PeripheralAutonomic Neuropathy, Diabetic
Interventions
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Dual Energy X-ray Absorbtiometry scan

Evaluation of body composition and bone mass density

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High-resolution peripheral quantitative computed tomography

High-resolution peripheral quantitative computed tomography (HR-pQCT) assesses both volumetric bone mineral density (vBMD) and trabecular and cortical microarchitecture.

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Microindentation

Measures Bone Material Strength Index (BMSi) of cortical bone.

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Thermal perception thresholds

Heat and cold perception thresholds

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Nerve conduction studies

Nerve conduction and amplitude of sural nerve

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Composite Autonomic Symptom Score 31

A validated self-assessment questionnaire quantifying the severity and distribution of autonomic symptoms across six domains (orthostatic intolerance, vasomotor, secretomotor, gastrointestinal, bladder and pupillomotor functions) by scoring 31 clinically selected questions

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Skin biopsies with quantification of intra-epidermal nerve fibre density

Skin biopsy

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Perception Threshold Tracking

Transcutaneous stimulation of large and small nerve fibres using weak electrical currents

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Assessment of cardiovascular autonomic neuropathy

Electrocardiographic recordings at rest and during cardiovascular autonomic reflex tests.

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Handgrip strength

Evaluation of muscle strength

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Force plate platform

Evaluation of balance while standing still

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Biospecimen collection

Biochemistry including bone turnover markers, glycemic status, inflammation markers i.e

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Isometric leg extension strength

Evaluation of muscle strength

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Michigan Neuropathy Screening Instrument

MNSI is used to assess status of peripheral neuropathy. It includes two separate assessments: a 15-item self-administered questionnaire and a lower extremity examination that includes inspection and assessment of vibratory sensation and ankle reflexes.

Trial Locations (1)

9000

RECRUITING

Steno Diabetes Center Nordjylland, Aalborg

All Listed Sponsors
lead

Aalborg University Hospital

OTHER