Correlation of Xanthelasma With Atherosclerosis, Hepatic Fat and Fibrosis
NCT05945030 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 150
Last updated 2023-07-14
Summary
Patients with diabetes with clinical feature of Xanthelasma will show increased Atherosclerosis.
Objectives:
Primary
1. To correlate xanthelasma and its severity to pulse wave velocity and atherosclerosis as see in carotid doppler.
Secondary
2. To correlate xanthelasma to liver fat and fibrosis.
Methodology:
T2DM patient will be recruited from endocrine OPD
1. Clinical History and Examination:
a. General Physical Examination: Height, weight, waist circumference, hip circumference, BMI, Blood Pressure, Hand grip. Xanthelasma.
2. Biochemical Test: The biochemical analysis will be done using ELISA kit or commercially available kits
1. Fasting blood Glucose
2. Haemoglobin A1C: The estimation of average blood sugar level over a period of two to three months will be analysed with the patient's blood sample for haemoglobin A1C based on turbidimetric inhibition immunoassay method (using COBAS 6000 analyser)
3. Lipid Profile: Fasting samples shall be analysed for lipid profile. Levels of total cholesterol (TC), serum triglyceride (TG) and high-density lipoprotein cholesterol (HDL-c) will be estimated using commercial kits (Randox Laboratory, USA). Value of low-density lipoprotein cholesterol (LDL-c) will be calculated according to Friedewald's equation.
4. Liver Function Tests: Fasting samples shall be analysed for liver function test. Levels of alkaline phosphate, Aspartate aminotransferase, Alanine aminotransferase and Gamma-glutamyl transferase will be estimated by using commercial kits (based on kinetic method).
3. Assessment of sub-clinical atherosclerosis: Pulse wave velocity and carotid Doppler will be done
1. Pulse wave velocity: Arterial stiffness indices will be analyzed by measuring carotid femoral pulse wave velocity.
2. Carotid Doppler: (based on kinetic method)
3. FibroScan Estimation: It is a medical diagnostic tool. Liver stiffness (LSM in kPa) and controlled attenuation parameter (CAP in dB/m) measurements will be done by transient elastography (FibroScan® 430 Touch, Echosens, FR) in order to quantify severity of liver fibrosis (LSM 7-10 kPa for F1, 10.1-13 for F2 and \>13kPa for F≥3
Conditions
- Type2diabetes
Interventions
- OTHER
-
Clinical Examination
T2DM patient visiting Fortis CDOC will undergo clinical examination to determine the grade of Xanthelasma.
Sponsors & Collaborators
-
National Diabetes Obesity and Cholesterol Foundation
collaborator OTHER -
Diabetes Foundation, India
lead OTHER
Principal Investigators
-
Anoop Misra, MD · Fortis CDOC Hospital
Eligibility
- Min Age
- 25 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-07-01
- Primary Completion
- 2024-07-30
- Completion
- 2024-08-30
Countries
- India
Study Locations
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