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Table 5 Overview of outcomes and variables designated article 1 concerning β-cell function

From: The effects of different doses of exercise on pancreatic β-cell function in patients with newly diagnosed type 2 diabetes: study protocol for and rationale behind the “DOSE-EX” multi-arm parallel-group randomised clinical trial

Outcome

Time frame

Domain

Measurements

Primary

Baseline and after 16 weeks

β-cell function

Late-phase DI from hyperglycaemic phase

Secondary

Baseline and after 16 weeks

Secondary measures of pancreatic α- and β-cell function.

Hyperglycaemic clamp

• GLP-1 stimulated insulin, C-peptide and glucagon secretion

• Arginine stimulated insulin, C-peptide and glucagon secretion

• 1st phase C-peptide and insulin secretion defined as the peak concentration during the initial 10 min of the hyperglycaemic clamp

• Late-phase SI (mean Glucose infusion rate over last 30 min of clamp phase/ (mean insulin × glucose))

• Early phase DI (DI from 0 to 30 min)

• Rate of glucose disappearance (Rd)

• Rate of glucose appearance (Ra)

Secondary

Baseline and after 16 weeks

Post prandial glycaemic control

Mixed meal tolerance test (MMTT)

• iAUC of glucose, insulin, glucagon and C-peptide

• tAUC of glucose, insulin, glucagon and C-peptide

• Indices of insulin secretion, insulin sensitivity and β-cell function

Secondary

Baseline and after 16 weeks

Visceral and organ-specific fat content

Magnet Resonance (MR)

Secondary

Baseline and after 16 weeks

Body anthropometrics

• Body weight

• Body mass index

• Lean body mass

• Total fat mass

Secondary

Baseline, 4 weeks, 12 weeks and after 16 weeks

Blood glucose control

• HbA1c

• Fasting glucose

• Fasting C-peptide and insulin

Secondary

Baseline, 4 weeks, 12 weeks and after 16 weeks

Blood lipids

• Total cholesterol

• Triglyceride

• Low- and high-density lipoprotein

Secondary

Baseline, 4 weeks, 12 weeks and after 16 weeks

Blood pressure

• Resting systolic and diastolic blood pressure

Secondary

Baseline and after 16 weeks

Gastric emptying

Mixed meal tolerance test (MMTT)

• Rate of appearance of paracetamol

Secondary

Baseline and after 16 weeks

Physical fitness

• Maximal aerobic capacity (VO2 peak)

• One-repetition maximum (RM) strength

Secondary

Baseline and after 16 weeks

Incretin response

Mixed meal tolerance test (MMTT)

• Blood levels of incretins

  1. iAUC, incremental area under the curve; tAUC, total area under the curve; DI, disposition index