Page last updated: 2024-10-30

metformin and Albuminuria

metformin has been researched along with Albuminuria in 47 studies

Metformin: A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)
metformin : A member of the class of guanidines that is biguanide the carrying two methyl substituents at position 1.

Albuminuria: The presence of albumin in the urine, an indicator of KIDNEY DISEASES.

Research Excerpts

ExcerptRelevanceReference
"The aim of his study was to compare the efficacy of pioglitazone with metformin on the reduction of albuminuria in type 2 diabetic patients with hypertension and microalbuminuria treated with renin-angiotensin system inhibitors (RAS-Is)."9.15Pioglitazone reduces urinary albumin excretion in renin-angiotensin system inhibitor-treated type 2 diabetic patients with hypertension and microalbuminuria: the APRIME study. ( Haneda, M; Ishizeki, K; Itoh, H; Iwashima, Y; Miura, T; Morikawa, A; Muto, E; Oshima, E; Sekiguchi, M; Yokoyama, H, 2011)
"To test the hypothesis that rosiglitazone combined with metformin provides a greater reduction in microalbuminuria and blood pressure than metformin and glyburide at comparable levels of glycemic control."9.12Rosiglitazone reduces microalbuminuria and blood pressure independently of glycemia in type 2 diabetes patients with microalbuminuria. ( Bakris, GL; Freed, MI; Heise, MA; McMorn, SO; Porter, LE; Ruilope, LM; Weston, WM, 2006)
"Troglitazone ameliorated microalbuminuria in diabetic nephropathy."9.08Effect of troglitazone on microalbuminuria in patients with incipient diabetic nephropathy. ( Arai, K; Hori, M; Imano, E; Kajimoto, Y; Kanda, T; Motomura, M; Nakatani, Y; Nishida, T; Yamasaki, Y, 1998)
"A total of 26 non-insulin-dependent diabetic patients were enrolled for a clinical study of the effect of buflomedil on microalbuminuria."9.07The effect of oral buflomedil on microalbuminuria in non-insulin-dependent diabetic patients. ( Chuang, LM; Lin, BJ; Tai, TY; Tseng, CH; Wu, HP, 1992)
"These findings indicate that metformin treatment improves glycemic control, and lowers insulin resistance and risk factors for cardiovascular disease, including PAI-1, and may therefore be useful in the long-term management of NIDDM subjects who have a high risk of cardiovascular disease."9.07Effects of metformin on insulin resistance, risk factors for cardiovascular disease, and plasminogen activator inhibitor in NIDDM subjects. A study of two ethnic groups. ( Nagi, DK; Yudkin, JS, 1993)
"Metformin was added progressively over a year in total doses of 1."6.69[The combination of insulin and metformin in obese patients with type-2 diabetes mellitus]. ( Ibarra Rueda, JM; Ruiz de Adana Pérez, R; Sánchez-Barba Izquierdo, MI, 1999)
"Metformin has been the most prescribed glucose-lowering medicine worldwide, and its potential for many other therapeutic applications is also being explored intensively."5.48Metformin attenuates folic-acid induced renal fibrosis in mice. ( Cao, Q; Chen, J; Chen, XM; Huang, C; Pollock, CA; Shi, Y; Yi, H; Zhang, L; Zhao, Y, 2018)
" Secondary goals examined albuminuria, age, race, sex, and metformin prescription."5.20Effects of sevelamer carbonate on advanced glycation end products and antioxidant/pro-oxidant status in patients with diabetic kidney disease. ( Poretsky, L; Striker, GE; Vlassara, H; Woodward, M; Yubero-Serrano, EM, 2015)
"The aim of his study was to compare the efficacy of pioglitazone with metformin on the reduction of albuminuria in type 2 diabetic patients with hypertension and microalbuminuria treated with renin-angiotensin system inhibitors (RAS-Is)."5.15Pioglitazone reduces urinary albumin excretion in renin-angiotensin system inhibitor-treated type 2 diabetic patients with hypertension and microalbuminuria: the APRIME study. ( Haneda, M; Ishizeki, K; Itoh, H; Iwashima, Y; Miura, T; Morikawa, A; Muto, E; Oshima, E; Sekiguchi, M; Yokoyama, H, 2011)
"To test the hypothesis that rosiglitazone combined with metformin provides a greater reduction in microalbuminuria and blood pressure than metformin and glyburide at comparable levels of glycemic control."5.12Rosiglitazone reduces microalbuminuria and blood pressure independently of glycemia in type 2 diabetes patients with microalbuminuria. ( Bakris, GL; Freed, MI; Heise, MA; McMorn, SO; Porter, LE; Ruilope, LM; Weston, WM, 2006)
" Twenty-seven patients (26 male, 1 female, aged 48-68 years) with T2DM and microalbuminuria were treated with folic acid 10 mg daily for 3 months."5.11The effect of oral folic acid on glutathione, glycaemia and lipids in Type 2 diabetes. ( Brain, AM; Child, DF; Davies, GK; De, P; Harvey, JN; Hudson, PR; Jones, H; Mukherjee, S; Williams, CP, 2004)
"Combination therapy with bedtime insulin plus metformin prevents weight gain."5.09Comparison of bedtime insulin regimens in patients with type 2 diabetes mellitus. A randomized, controlled trial. ( Heikkilä, M; Nikkilä, K; Ryysy, L; Tulokas, T; Vanamo, R; Yki-Järvinen, H, 1999)
"Troglitazone ameliorated microalbuminuria in diabetic nephropathy."5.08Effect of troglitazone on microalbuminuria in patients with incipient diabetic nephropathy. ( Arai, K; Hori, M; Imano, E; Kajimoto, Y; Kanda, T; Motomura, M; Nakatani, Y; Nishida, T; Yamasaki, Y, 1998)
"These findings indicate that metformin treatment improves glycemic control, and lowers insulin resistance and risk factors for cardiovascular disease, including PAI-1, and may therefore be useful in the long-term management of NIDDM subjects who have a high risk of cardiovascular disease."5.07Effects of metformin on insulin resistance, risk factors for cardiovascular disease, and plasminogen activator inhibitor in NIDDM subjects. A study of two ethnic groups. ( Nagi, DK; Yudkin, JS, 1993)
"A total of 26 non-insulin-dependent diabetic patients were enrolled for a clinical study of the effect of buflomedil on microalbuminuria."5.07The effect of oral buflomedil on microalbuminuria in non-insulin-dependent diabetic patients. ( Chuang, LM; Lin, BJ; Tai, TY; Tseng, CH; Wu, HP, 1992)
" Metformin and renin-angiotensin system blockers were negatively associated with albuminuria and chronic kidney disease stages (p < 0."4.02Diabetic kidney disease in patients with type 2 diabetes mellitus: a cross-sectional study. ( Abdulraheem, AM; Abufaraj, M; Al-Sabbagh, MQ; Albtoosh, A; Aljabiri, H; Arabiat, M; Farah, RI; Momani, MS, 2021)
"Metformin, an AMP-activated protein kinase (AMPK) activator, has been shown in previous studies to reduce kidney fibrosis in different models of experimental chronic kidney disease (CKD)."3.96Metformin arrests the progression of established kidney disease in the subtotal nephrectomy model of chronic kidney disease. ( Borges, CM; de Ávila, VF; Formigari, GP; Fujihara, CK; Lopes de Faria, JB; Malheiros, DMAC, 2020)
"Mean composite kidney disease progression occurred in 135 (10."3.30Comparative Effects of Glucose-Lowering Medications on Kidney Outcomes in Type 2 Diabetes: The GRADE Randomized Clinical Trial. ( Bebu, I; de Boer, IH; Ghosh, A; Inzucchi, SE; Ismail-Beigi, F; McGill, JB; Mudaliar, S; Schade, D; Steffes, MW; Tamborlane, WV; Tan, MH; Wexler, DJ; Younes, N, 2023)
"In participants with type 2 diabetes, the incidences of microvascular complications and death were not materially different among the four treatment groups."3.11Glycemia Reduction in Type 2 Diabetes - Microvascular and Cardiovascular Outcomes. ( Bebu, I; Burch, HB; Buse, JB; Cherrington, AL; Fortmann, SP; Green, JB; Kahn, SE; Kirkman, MS; Krause-Steinrauf, H; Lachin, JM; Larkin, ME; Nathan, DM; Phillips, LS; Pop-Busui, R; Steffes, M; Tiktin, M; Tripputi, M; Wexler, DJ; Younes, N, 2022)
"People with insulin-requiring type 2 diabetes and high cardiovascular risk were enrolled during a run-in period on basal-bolus insulin (BBI), and 102 were randomized to continued BBI or to basal insulin with a prandial GLP-1 receptor agonist (GLIPULIN) group, each seeking to maintain HbA(1c) levels between 6."2.80Design of FLAT-SUGAR: Randomized Trial of Prandial Insulin Versus Prandial GLP-1 Receptor Agonist Together With Basal Insulin and Metformin for High-Risk Type 2 Diabetes. ( Bergenstal, R; Branch, KR; Davis, B; Hirsch, I; Khakpour, D; Kingry, C; O'Brien, K; Pressel, S; Probstfield, JL; Riddle, M, 2015)
" The overall frequency of adverse events was similar between treatment groups, but adverse event profiles were different between treatment groups."2.71Efficacy and safety of pioglitazone versus metformin in patients with type 2 diabetes mellitus: a double-blind, randomized trial. ( Brunetti, P; Charbonnel, B; Hanefeld, M; Matthews, DR; Schernthaner, G, 2004)
"In patients with type 2 diabetes treated with insulin, metformin treatment was associated with improvement of endothelial function, which was largely unrelated to changes in glycaemic control, but not with improvement of chronic, low-grade inflammation."2.71Effects of short-term treatment with metformin on markers of endothelial function and inflammatory activity in type 2 diabetes mellitus: a randomized, placebo-controlled trial. ( Bets, D; De Jager, J; Donker, AJ; Kooy, A; Lehert, P; Schalkwijk, CG; Scheffer, PG; Stehouwer, CD; Teerlink, T; Wulffelé, MG, 2005)
"Metformin was added progressively over a year in total doses of 1."2.69[The combination of insulin and metformin in obese patients with type-2 diabetes mellitus]. ( Ibarra Rueda, JM; Ruiz de Adana Pérez, R; Sánchez-Barba Izquierdo, MI, 1999)
"Thirty-nine mildly obese NIDDM patients (BMI 25."2.68Daytime glibenclamide and bedtime NPH insulin compared to intensive insulin treatment in secondary sulphonylurea failure: a 1-year follow-up. ( Clauson, P; Efendic, S; Karlander, S; Steen, L, 1996)
"Type 2 diabetes mellitus is a troubling chronic disease and diabetic nephropathy is one of the most important complications of diabetes mellitus."2.49Bright renoprotective properties of metformin: beyond blood glucose regulatory effects. ( Ardalan, MR; Baradaran, A; Mardani, S; Momeni, A; Nasri, H; Rafieian-Kopaei, M, 2013)
"Patients with type 2 diabetes have an increased risk for cardiovascular disease (CVD) and it accounts for up to 80% of excess deaths in these patients."2.42Role of oral anti-diabetic agents in modifying cardiovascular risk factors. ( Farag, A; McFarlane, SI; Rothman, J; Shin, JJ; Sowers, JR, 2003)
"Type 2 diabetes is strongly associated with increased risk of cardiovascular disease."2.42Peroxisome proliferator-activated receptor-gamma agonists in atherosclerosis: current evidence and future directions. ( Evans, M; Rees, A; Roberts, AW; Thomas, A, 2003)
"In the treatment of type 2 diabetes, evidence of the comparative effectiveness of sodium-glucose cotransporter 2 (SGLT2) inhibitors vs sulfonylureas-the second most widely used antihyperglycemic class after metformin-is lacking."1.62Comparative Effectiveness of Sodium-Glucose Cotransporter 2 Inhibitors vs Sulfonylureas in Patients With Type 2 Diabetes. ( Al-Aly, Z; Bowe, B; Gibson, AK; Maddukuri, G; McGill, JB; Xie, Y, 2021)
"Diabetic nephropathy is one of the most common and serious complications of diabetes mellitus."1.48Ameliorative effects of protodioscin on experimental diabetic nephropathy. ( Dong, Y; Guo, C; Liu, Y; Xie, G; Zhu, H, 2018)
"Metformin has been the most prescribed glucose-lowering medicine worldwide, and its potential for many other therapeutic applications is also being explored intensively."1.48Metformin attenuates folic-acid induced renal fibrosis in mice. ( Cao, Q; Chen, J; Chen, XM; Huang, C; Pollock, CA; Shi, Y; Yi, H; Zhang, L; Zhao, Y, 2018)
"Metformin treatment of T2DM rats produced dose-dependent significant reductions in urinary albumin and nephrin concentrations, glomerular basement membrane thickness (GBMT), and the foot process fusion rate (FPFR) compared with control T2DM model rats, whereas renal expression of nephrin protein and Nphs1 mRNA was dose-dependently increased by metformin treatment."1.46Metformin ameliorates podocyte damage by restoring renal tissue nephrin expression in type 2 diabetic rats. ( Gu, J; Hu, W; Wang, W; Yang, D; Ye, S; Zhai, L, 2017)
"Metformin treatment was effective in lowering hyperglycemia only during the first 2 weeks of treatment."1.40Daily exercise training protects against albuminuria and angiotensin converting enzyme 2 shedding in db/db diabetic mice. ( Boivin, GP; Elased, KM; Somineni, HK, 2014)
"Metformin was independently associated with lower prevalence of cardiovascular disease for any age quartile and eGFR category than all other treatments."1.39Age, renal dysfunction, cardiovascular disease, and antihyperglycemic treatment in type 2 diabetes mellitus: findings from the Renal Insufficiency and Cardiovascular Events Italian Multicenter Study. ( Bonora, E; Cavalot, F; Cignarelli, M; Ferrannini, E; Fondelli, C; Morano, S; Orsi, E; Penno, G; Pugliese, G; Solini, A; Trevisan, R; Vedovato, M, 2013)

Research

Studies (47)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's6 (12.77)18.2507
2000's12 (25.53)29.6817
2010's22 (46.81)24.3611
2020's7 (14.89)2.80

Authors

AuthorsStudies
Nathan, DM1
Lachin, JM3
Bebu, I2
Burch, HB1
Buse, JB1
Cherrington, AL1
Fortmann, SP1
Green, JB1
Kahn, SE3
Kirkman, MS1
Krause-Steinrauf, H1
Larkin, ME1
Phillips, LS1
Pop-Busui, R1
Steffes, M1
Tiktin, M1
Tripputi, M1
Wexler, DJ2
Younes, N2
Mannucci, E1
Gallo, M1
Giaccari, A1
Candido, R1
Pintaudi, B1
Targher, G1
Monami, M1
de Boer, IH1
Ghosh, A1
Inzucchi, SE1
McGill, JB2
Mudaliar, S1
Schade, D1
Steffes, MW1
Tamborlane, WV1
Tan, MH1
Ismail-Beigi, F1
Borges, CM1
Fujihara, CK1
Malheiros, DMAC1
de Ávila, VF1
Formigari, GP1
Lopes de Faria, JB1
Mostafa, DK1
Khedr, MM1
Barakat, MK1
Abdellatif, AA1
Elsharkawy, AM1
Farah, RI1
Al-Sabbagh, MQ1
Momani, MS1
Albtoosh, A1
Arabiat, M1
Abdulraheem, AM1
Aljabiri, H1
Abufaraj, M1
Xie, Y1
Bowe, B1
Gibson, AK1
Maddukuri, G1
Al-Aly, Z1
Yi, H1
Huang, C1
Shi, Y1
Cao, Q1
Zhao, Y1
Zhang, L1
Chen, J1
Pollock, CA1
Chen, XM1
Lim, S1
Eckel, RH1
Koh, KK1
Guo, C1
Dong, Y1
Zhu, H1
Liu, Y1
Xie, G1
Pan, Q3
Xu, Y2
Yang, N2
Gao, X2
Liu, J2
Yang, W2
Wang, G2
Kidokoro, K1
Satoh, M1
Channon, KM1
Yada, T1
Sasaki, T1
Kashihara, N1
Solini, A1
Penno, G1
Bonora, E1
Fondelli, C1
Orsi, E1
Trevisan, R1
Vedovato, M1
Cavalot, F1
Cignarelli, M1
Morano, S1
Ferrannini, E1
Pugliese, G1
Nasri, H1
Baradaran, A1
Ardalan, MR1
Mardani, S1
Momeni, A1
Rafieian-Kopaei, M1
Somineni, HK1
Boivin, GP1
Elased, KM1
Yubero-Serrano, EM1
Woodward, M1
Poretsky, L1
Vlassara, H1
Striker, GE1
Alamdari, A1
Mozafari, R1
Tafakhori, A1
Faghihi-Kashani, S1
Hafezi-Nejad, N1
Sheikhbahaei, S1
Naderi, N1
Ebadi, M1
Esteghamati, A1
Regelmann, MO1
Goldis, M1
Arnon, R1
Probstfield, JL1
Hirsch, I1
O'Brien, K1
Davis, B1
Bergenstal, R1
Kingry, C1
Khakpour, D1
Pressel, S1
Branch, KR1
Riddle, M1
Mather, KJ1
Knowler, WC1
Funahashi, T1
Bray, GA1
Arakaki, R1
Falkner, B1
Sharma, K1
Goldstein, BJ1
Zhai, L1
Gu, J1
Yang, D1
Hu, W1
Wang, W1
Ye, S1
Chen, YH1
Tarng, DC1
Chen, HS1
Viberti, G2
Zinman, B2
Haffner, SM2
Aftring, RP1
Paul, G1
Kravitz, BG1
Herman, WH2
Holman, RR2
Crasto, W1
Jarvis, J1
Khunti, K1
Skinner, TC1
Gray, LJ1
Brela, J1
Troughton, J1
Daly, H1
Lawrence, IG1
McNally, PG1
Carey, ME1
Davies, MJ1
Morikawa, A1
Ishizeki, K1
Iwashima, Y1
Yokoyama, H1
Muto, E1
Oshima, E1
Sekiguchi, M1
Miura, T1
Itoh, H1
Haneda, M1
Gosmanova, EO1
Canada, RB1
Wan, J1
Mangold, TA1
Wall, BM1
Kacso, IM1
Bondor, CI1
Kacso, G1
Kim, J1
Shon, E1
Kim, CS1
Kim, JS1
Greene, DA1
Levy, D1
Berry, RA1
Heise, MA2
Jones, NP1
Freed, MI2
Serrano Rios, M1
Ascaso Gimilio, JF1
Blázquez Fernández, E1
Cabezas Cerraro, J1
Carmena Rodríguez, R1
Escobar Jiménez, F1
Fernández-Real, JM1
Gabriel Sánchez, R1
Gomis de Barberá, R1
Grande Aragón, C1
Herrera Pomba, JL1
Pallardo Sánchez, LF1
Potau Vilalta, N1
Ricart Engel, W1
Rovira Loscos, A1
Zorzano Olarte, A1
Roberts, AW1
Thomas, A1
Rees, A1
Evans, M1
Shin, JJ1
Rothman, J1
Farag, A1
McFarlane, SI1
Sowers, JR1
Child, DF1
Hudson, PR1
Jones, H1
Davies, GK1
De, P1
Mukherjee, S1
Brain, AM1
Williams, CP1
Harvey, JN1
Schernthaner, G1
Matthews, DR1
Charbonnel, B1
Hanefeld, M1
Brunetti, P1
De Jager, J1
Kooy, A1
Lehert, P1
Bets, D1
Wulffelé, MG1
Teerlink, T1
Scheffer, PG1
Schalkwijk, CG1
Donker, AJ1
Stehouwer, CD1
Kadhim, HM1
Ismail, SH1
Hussein, KI1
Bakir, IH1
Sahib, AS1
Khalaf, BH1
Hussain, SA1
Bakris, GL1
Ruilope, LM1
McMorn, SO1
Weston, WM1
Porter, LE1
Cubeddu, LX1
Alfieri, AB1
Hoffmann, IS1
Nagi, DK1
Yudkin, JS1
Clauson, P1
Karlander, S1
Steen, L1
Efendic, S1
Imano, E1
Kanda, T1
Nakatani, Y1
Nishida, T1
Arai, K1
Motomura, M1
Kajimoto, Y1
Yamasaki, Y1
Hori, M1
Yki-Järvinen, H1
Ryysy, L1
Nikkilä, K1
Tulokas, T1
Vanamo, R1
Heikkilä, M1
Sánchez-Barba Izquierdo, MI1
Ibarra Rueda, JM1
Ruiz de Adana Pérez, R1
Jungmann, E1
Helling, T1
Jungmann, G1
Mertens, C1
Snelting, U1
Tseng, CH1
Tai, TY1
Wu, HP1
Chuang, LM1
Lin, BJ1

Clinical Trials (9)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study[NCT01794143]Phase 35,047 participants (Actual)Interventional2013-05-31Completed
The Effect of Sevelamer Carbonate on Serum Trimethylamine-n-Oxide (TMAO) Level in Patients With Chronic Kidney Disease (CKD) Stage 3b-4: a Protocol of a Randomized, Parallel, Controlled Trial[NCT03596749]Phase 380 participants (Anticipated)Interventional2018-09-01Not yet recruiting
FLAT-SUGAR: FLuctuATion Reduction With inSULin and Glp-1 Added togetheR[NCT01524705]Phase 4102 participants (Actual)Interventional2012-08-31Completed
The Effects of Thiazolidinedione on the Diabetic Retinopathy and Nephropathy[NCT01175486]Phase 4200 participants (Anticipated)Interventional2010-07-31Recruiting
[NCT00004992]Phase 33,234 participants (Actual)Interventional1996-07-31Completed
A Randomized, Double-Blind Study to Compare the Durability of Glucose Lowering and Preservation of Pancreatic Beta-Cell Function of Rosiglitazone Monotherapy Compared to Metformin or Glyburide/Glibenclamide in Patients With Drug-Naive, Recently Diagnosed [NCT00279045]Phase 34,426 participants (Actual)Interventional2000-01-03Completed
Modulation of Insulin Secretion and Insulin Sensitivity in Bangladeshi Type 2 Diabetic Subjects by an Insulin Sensitizer Pioglitazone and T2DM Association With PPARG Gene Polymorphism.[NCT01589445]Phase 477 participants (Actual)Interventional2008-11-30Completed
The Assessment of the Effect of Metformin and Its Serum Concentration on the Concentration of Substances Associated With the Production of Nitric Oxide in Patients With Impaired Carbohydrate Metabolism[NCT03398356]Phase 447 participants (Actual)Interventional2017-10-20Completed
Efficacy/Safety Study of Adding Glimepiride to Type 2 Diabetes Patients With Inadequate Glycemic Control Based on Combination With Metformin And Basal Insulin[NCT02026310]40 participants (Actual)Interventional2014-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Coefficient of Variation at 26 Weeks Minus Coefficient of Variation at Baseline

The change in the coefficient of variation (CV) of continuous glucose readings, as assessed by Continuous Glucose Monitoring (CGM) (NCT01524705)
Timeframe: At baseline, 6 months of intervention

Interventionpercentage (Mean)
Insulin Glargine, Metformin, Exenatide-2.43
Insulin Glargine, Metformin, Prandial Insulin0.44

HbA1C Levels

% of glycosylated hemoglobin in whole blood at 26 weeks (NCT01524705)
Timeframe: Baseline vs 26 weeks

Intervention% of HbA1C (Mean)
Insulin Glargine, Metformin, Exenatide7.1
Insulin Glargine, Metformin, Prandial Insulin7.2

Number of Participants With Hypoglycemia

Severe hypoglycemia-documented glucose <50mg/dl (participant journal), and hypoglycemic attacks requiring hospitalization, or treatment by emergency personnel. (NCT01524705)
Timeframe: 26 weeks

InterventionParticipants (Count of Participants)
Insulin Glargine, Metformin, Exenatide0
Insulin Glargine, Metformin, Prandial Insulin0

Weight Change During Trial

Weight in kg at 26 weeks minus weight at baseline. (NCT01524705)
Timeframe: Baseline vs 26 weeks

Interventionkg (Mean)
Insulin Glargine, Metformin, Exenatide-4.8
Insulin Glargine, Metformin, Prandial Insulin0.7

Comparison of Changes in Fasting Serum Glucose (FSG)With Pioglitazone and Metformin

Response rate was defined by ≥10% decrease of FSG or/and ≥1% decrease of HbA1c from the baseline values after 3 months treatment.48 responded to pioglitazone and 32 responded to metformin. (NCT01589445)
Timeframe: 3 months for each drug

,
Interventionmmol/l (Mean)
Baseline FSG3rd Month FSG
Metformin ( 002 Group)6.26.5
Pioglitazone (001 Group)6.95.4

Comparison of Changes in Fasting Serum Insulin (FSI)With Pioglitazone and Metformin

Response rate was defined by ≥10% decrease of FSG or/and ≥1% decrease of HbA1c from the baseline values after 3 months treatment.48 responded to pioglitazone and 32 responded to metformin. (NCT01589445)
Timeframe: 3 months for each drug

,
InterventionμU/ml (Mean)
Baseline FSI3rd month FSI
Metformin ( 002 Group)13.013.9
Pioglitazone (001 Group)16.212.3

Comparison of Changes in Glycosylated Hemoglobin (HbA1c)With Pioglitazone and Metformin

Response rate was defined by ≥10% decrease of FSG or/and ≥1% decrease of HbA1c from the baseline values after 3 months treatment.48 responded to pioglitazone and 32 responded to metformin. (NCT01589445)
Timeframe: 3 months for each drug

,
Interventionpercentage (Mean)
Baseline HbA1c3rd month HbA1c
Metformin ( 002 Group)7.87.0
Pioglitazone (001 Group)7.36.7

Comparison of Changes in HOMA Percent B and HOMA Percent S With Pioglitazone and Metformin

"Response rate was defined by ≥10% decrease of FSG or/and ≥1% decrease of HbA1c from the baseline values after 3 months treatment.48 responded to pioglitazone and 32 responded to metformin.~Analysis 1: Homeostatic Model Assessment of Beta cell function(HOMA percent B) Analysis 2: Homeostatic Model Assessment of Insulin Sensitivity (Homa percent S)" (NCT01589445)
Timeframe: 3 months for each drug

,
Interventionpercentage (Mean)
Baseline HOMA percent beta cells function3rd month HOMA percent beta cells functionBaseline HOMA percent sensitivity3rd month HOMA percent sensitivity
Metformin ( 002 Group)109.3116.076.267.2
Pioglitazone (001 Group)118.9132.351.169.3

Comparison of Changes in Insulin Levels (HOMA IR,QUICKI) With Pioglitazone and Metformin

"Response rate was defined by ≥10% decrease of FSG or/and ≥1% decrease of HbA1c from the baseline values after 3 months treatment.48 responded to pioglitazone and 32 responded to metformin.~Analysis 1: Homeostasis Model Assessment Insulin Resistance(HOMA IR) Analysis 2: Quantitative Insulin sensitivity Check Index(QUICKI)" (NCT01589445)
Timeframe: 3 months for each drug

,
InterventionScore on a scale ( SI unit) (Mean)
Baseline QUICKI3rd month QUICKIBaseline HOMA IR3rd month HOMA IR
Metformin ( 002 Group)0.570.543.74.3
Pioglitazone (001 Group)0.520.595.12.9

Comparison of Changes in Lipid Profiles With Pioglitazone and Metformin

"Response rate was defined by ≥10% decrease of FSG or/and ≥1% decrease of HbA1c from the baseline values after 3 months treatment.48 responded to pioglitazone and 32 responded to metformin.~Analysis 1:Total Cholesterol(TC) Analysis 2:Triglyceride(TG) Analysis 3:High Density Lipoprotein(HDL) Analysis 4:Low Density Lipoprotein(LDL)" (NCT01589445)
Timeframe: 3 months for each drug

,
Interventionmg/dl (Mean)
Baseline TC3rd month TCBaseline TG3rd month TGBaseline HDL3rd month HDLBaseline LDL3rd month LDL
Metformin (002 Group)193.0177.0166.0175.034.434.7125.6112.0
Pioglitazone (001 Group)182.01781831953333.2112.8105.5

Serum Levels of ADMA at Different Time Points

ADMA- asymmetric dimethylarginine-serum concentration (NCT03398356)
Timeframe: before study start; 6 weeks from treatment start; 12 weeks from treatment start; 15 weeks from treatment start

,
InterventionµM (Mean)
6 weeks from the start of treatment12 weeks from the start of treatment15 weeks from the start of treatment
Group A0.510.520.50
Group B0.570.550.52

Serum Levels of Arginine at Different Time Points

arginine serum concentration (NCT03398356)
Timeframe: Baseline; 6 weeks from treatment start; 12 weeks from treatment start; 15 weeks from treatment start

,
InterventionµM (Mean)
6 weeks from the start of treatment12 weeks from the start of treatment15 weeks from the start of treatment
Group A112.18107.72104.72
Group B111.7297.69103.76

Serum Levels of Citrulline at Different Time Points

serum concentration of the citrulline (NCT03398356)
Timeframe: Baseline; 6 weeks from treatment start; 12 weeks from treatment start; 15 weeks from treatment start

,
InterventionµM (Mean)
6 weeks from the start of treatment12 weeks from the start of treatment15 weeks from the start of treatment
Group A21.7325.9526.93
Group B28.0827.0129.77

Serum Levels of DMA at Different Time Points

DMA- dimethylamine, serum concentration (NCT03398356)
Timeframe: Baseline; 6 weeks from treatment start; 12 weeks from treatment start; 15 weeks from treatment start

,
InterventionµM (Mean)
6 weeks from the start of treatment12 weeks from the start of treatment15 weeks from the start of treatment
Group A1.711.631.62
Group B2.071.891.84

Serum Levels of Metformin at Different Time Points

the serum concentration of the studied drug-metformin (NCT03398356)
Timeframe: 6 weeks from treatment start; 12 weeks from treatment start; 15 weeks from treatment start

,
InterventionµM (Mean)
6 weeks from the start of treatment12 weeks from the start of treatment15 weeks from the start of treatment
Group A4.365.094.66
Group B4.257.424.01

Serum Levels of SDMA at Different Time Points

SDMA-symmetric dimethylarginine-serum concentration (NCT03398356)
Timeframe: Baseline; 6 weeks from treatment start; 12 weeks from treatment start; 15 weeks from treatment start

,
InterventionµM (Mean)
6 weeks from the start of treatment12 weeks from the start of treatment15 weeks from the start of treatment
Group A0.400.410.39
Group B0.450.420.39

Reviews

6 reviews available for metformin and Albuminuria

ArticleYear
Effects of glucose-lowering agents on cardiovascular and renal outcomes in subjects with type 2 diabetes: An updated meta-analysis of randomized controlled trials with external adjudication of events.
    Diabetes, obesity & metabolism, 2023, Volume: 25, Issue:2

    Topics: Adult; Albuminuria; Cardiovascular Diseases; Creatinine; Diabetes Mellitus, Type 2; Glucagon-Like Pe

2023
Clinical implications of current cardiovascular outcome trials with sodium glucose cotransporter-2 (SGLT2) inhibitors.
    Atherosclerosis, 2018, Volume: 272

    Topics: Albuminuria; Atherosclerosis; Benzhydryl Compounds; Body Weight; Canagliflozin; Cardiovascular Disea

2018
Bright renoprotective properties of metformin: beyond blood glucose regulatory effects.
    Iranian journal of kidney diseases, 2013, Volume: 7, Issue:6

    Topics: Albuminuria; AMP-Activated Protein Kinases; Animals; Diabetes Mellitus, Type 2; Diabetic Nephropathi

2013
New-onset diabetes mellitus after pediatric liver transplantation.
    Pediatric transplantation, 2015, Volume: 19, Issue:5

    Topics: Albuminuria; Child; Cyclosporine; Diabetes Mellitus; Diabetic Retinopathy; Glucocorticoids; Humans;

2015
Peroxisome proliferator-activated receptor-gamma agonists in atherosclerosis: current evidence and future directions.
    Current opinion in lipidology, 2003, Volume: 14, Issue:6

    Topics: Albuminuria; Arteriosclerosis; Blood Pressure; C-Reactive Protein; Carotid Arteries; Coronary Resten

2003
Role of oral anti-diabetic agents in modifying cardiovascular risk factors.
    Minerva medica, 2003, Volume: 94, Issue:6

    Topics: Albuminuria; Cardiovascular Diseases; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Hemostasis;

2003

Trials

23 trials available for metformin and Albuminuria

ArticleYear
Glycemia Reduction in Type 2 Diabetes - Microvascular and Cardiovascular Outcomes.
    The New England journal of medicine, 2022, 09-22, Volume: 387, Issue:12

    Topics: Albuminuria; Blood Glucose; Cardiovascular Diseases; Comparative Effectiveness Research; Diabetes Co

2022
Comparative Effects of Glucose-Lowering Medications on Kidney Outcomes in Type 2 Diabetes: The GRADE Randomized Clinical Trial.
    JAMA internal medicine, 2023, 07-01, Volume: 183, Issue:7

    Topics: Adult; Albuminuria; Diabetes Mellitus, Type 2; Disease Progression; Female; Glomerular Filtration Ra

2023
Effects of sevelamer carbonate on advanced glycation end products and antioxidant/pro-oxidant status in patients with diabetic kidney disease.
    Clinical journal of the American Society of Nephrology : CJASN, 2015, May-07, Volume: 10, Issue:5

    Topics: Adiponectin; Age Factors; Aged; Albuminuria; Chelating Agents; Diabetes Mellitus, Type 2; Diabetic N

2015
Design of FLAT-SUGAR: Randomized Trial of Prandial Insulin Versus Prandial GLP-1 Receptor Agonist Together With Basal Insulin and Metformin for High-Risk Type 2 Diabetes.
    Diabetes care, 2015, Volume: 38, Issue:8

    Topics: Albuminuria; Biomarkers; Blood Glucose; Body Weight; Diabetes Mellitus, Type 2; Diabetic Angiopathie

2015
Treatment-Induced Changes in Plasma Adiponectin Do Not Reduce Urinary Albumin Excretion in the Diabetes Prevention Program Cohort.
    PloS one, 2015, Volume: 10, Issue:8

    Topics: Adiponectin; Adult; Albuminuria; Creatinine; Cross-Sectional Studies; Diabetes Mellitus; Female; Hum

2015
Comparison of Acarbose and Metformin on Albumin Excretion in Patients With Newly Diagnosed Type 2 Diabetes: A Randomized Controlled Trial.
    Medicine, 2016, Volume: 95, Issue:14

    Topics: Acarbose; Albuminuria; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents; Male; Metform

2016
Renal Outcomes of Pioglitazone Compared with Acarbose in Diabetic Patients: A Randomized Controlled Study.
    PloS one, 2016, Volume: 11, Issue:11

    Topics: Acarbose; Aged; Albumins; Albuminuria; Blood Glucose; Creatinine; Diabetes Mellitus, Type 2; Drug Th

2016
Renal function in type 2 diabetes with rosiglitazone, metformin, and glyburide monotherapy.
    Clinical journal of the American Society of Nephrology : CJASN, 2011, Volume: 6, Issue:5

    Topics: Adult; Aged; Albuminuria; Blood Glucose; Blood Pressure; Creatinine; Diabetes Mellitus, Type 2; Diab

2011
Multifactorial intervention in individuals with type 2 diabetes and microalbuminuria: the Microalbuminuria Education and Medication Optimisation (MEMO) study.
    Diabetes research and clinical practice, 2011, Volume: 93, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Albuminuria; Antihypertensive Agents; Aspirin; Blood Pressure; Chole

2011
Pioglitazone reduces urinary albumin excretion in renin-angiotensin system inhibitor-treated type 2 diabetic patients with hypertension and microalbuminuria: the APRIME study.
    Clinical and experimental nephrology, 2011, Volume: 15, Issue:6

    Topics: Albuminuria; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Anti

2011
A diabetes outcome progression trial (ADOPT): an international multicenter study of the comparative efficacy of rosiglitazone, glyburide, and metformin in recently diagnosed type 2 diabetes.
    Diabetes care, 2002, Volume: 25, Issue:10

    Topics: Albuminuria; Blood Glucose; Diabetes Mellitus, Type 2; Disease Progression; Double-Blind Method; Gly

2002
The effect of oral folic acid on glutathione, glycaemia and lipids in Type 2 diabetes.
    Diabetes, nutrition & metabolism, 2004, Volume: 17, Issue:2

    Topics: Adult; Aged; Albuminuria; Blood Glucose; Blood Pressure; Cholesterol, HDL; Diabetes Mellitus, Type 2

2004
Efficacy and safety of pioglitazone versus metformin in patients with type 2 diabetes mellitus: a double-blind, randomized trial.
    The Journal of clinical endocrinology and metabolism, 2004, Volume: 89, Issue:12

    Topics: Adult; Aged; Albuminuria; Blood Glucose; Creatinine; Diabetes Mellitus, Type 2; Double-Blind Method;

2004
Effects of short-term treatment with metformin on markers of endothelial function and inflammatory activity in type 2 diabetes mellitus: a randomized, placebo-controlled trial.
    Journal of internal medicine, 2005, Volume: 257, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Albuminuria; Biomarkers; C-Reactive Protein; Diabetes Mellitus, Type

2005
Effects of melatonin and zinc on lipid profile and renal function in type 2 diabetic patients poorly controlled with metformin.
    Journal of pineal research, 2006, Volume: 41, Issue:2

    Topics: Adult; Albuminuria; Cholesterol; Cholesterol, HDL; Cholesterol, LDL; Diabetes Mellitus, Type 2; Drug

2006
Rosiglitazone reduces microalbuminuria and blood pressure independently of glycemia in type 2 diabetes patients with microalbuminuria.
    Journal of hypertension, 2006, Volume: 24, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Albuminuria; Blood Pressure; Cohort Studies; Diabetes Mellitus, Type

2006
Lowering the threshold for defining microalbuminuria: effects of a lifestyle-metformin intervention in obese "normoalbuminuric" non-diabetic subjects.
    American journal of hypertension, 2008, Volume: 21, Issue:1

    Topics: Adult; Albuminuria; Blood Pressure; Caloric Restriction; Cardiovascular Diseases; Creatinine; Exerci

2008
Effects of metformin on insulin resistance, risk factors for cardiovascular disease, and plasminogen activator inhibitor in NIDDM subjects. A study of two ethnic groups.
    Diabetes care, 1993, Volume: 16, Issue:4

    Topics: Albuminuria; Asia; Biomarkers; Blood Glucose; C-Peptide; Cardiovascular Diseases; Cholesterol; Diabe

1993
Daytime glibenclamide and bedtime NPH insulin compared to intensive insulin treatment in secondary sulphonylurea failure: a 1-year follow-up.
    Diabetic medicine : a journal of the British Diabetic Association, 1996, Volume: 13, Issue:5

    Topics: Aged; Albuminuria; Analysis of Variance; Blood Glucose; Body Mass Index; C-Peptide; Cholesterol; Cho

1996
Effect of troglitazone on microalbuminuria in patients with incipient diabetic nephropathy.
    Diabetes care, 1998, Volume: 21, Issue:12

    Topics: Aged; Albuminuria; Blood Glucose; Blood Pressure; C-Peptide; Cholesterol; Cholesterol, HDL; Chromans

1998
Comparison of bedtime insulin regimens in patients with type 2 diabetes mellitus. A randomized, controlled trial.
    Annals of internal medicine, 1999, Mar-02, Volume: 130, Issue:5

    Topics: Albuminuria; Blood Glucose; Blood Pressure; C-Peptide; Diabetes Mellitus, Type 2; Drug Administratio

1999
[The combination of insulin and metformin in obese patients with type-2 diabetes mellitus].
    Atencion primaria, 1999, Nov-15, Volume: 24, Issue:8

    Topics: Albuminuria; Blood Glucose; Diabetes Mellitus; Diabetes Mellitus, Type 2; Drug Therapy, Combination;

1999
The effect of oral buflomedil on microalbuminuria in non-insulin-dependent diabetic patients.
    Diabetes research and clinical practice, 1992, Volume: 16, Issue:2

    Topics: Adult; Aged; Albuminuria; Blood Glucose; Blood Pressure; Diabetes Mellitus, Type 2; Female; Humans;

1992

Other Studies

18 other studies available for metformin and Albuminuria

ArticleYear
Metformin arrests the progression of established kidney disease in the subtotal nephrectomy model of chronic kidney disease.
    American journal of physiology. Renal physiology, 2020, 05-01, Volume: 318, Issue:5

    Topics: Albuminuria; AMP-Activated Protein Kinases; Animals; Disease Models, Animal; Disease Progression; En

2020
Autophagy blockade mechanistically links proton pump inhibitors to worsened diabetic nephropathy and aborts the renoprotection of metformin/enalapril.
    Life sciences, 2021, Jan-15, Volume: 265

    Topics: Albuminuria; Animals; Autophagy; Diabetes Mellitus, Experimental; Diabetic Nephropathies; Diet, High

2021
Diabetic kidney disease in patients with type 2 diabetes mellitus: a cross-sectional study.
    BMC nephrology, 2021, 06-16, Volume: 22, Issue:1

    Topics: Age Factors; Albuminuria; Angiotensin-Converting Enzyme Inhibitors; Cross-Sectional Studies; Diabete

2021
Comparative Effectiveness of Sodium-Glucose Cotransporter 2 Inhibitors vs Sulfonylureas in Patients With Type 2 Diabetes.
    JAMA internal medicine, 2021, 08-01, Volume: 181, Issue:8

    Topics: Albuminuria; Cardiovascular Diseases; Comparative Effectiveness Research; Diabetes Mellitus, Type 2;

2021
Metformin attenuates folic-acid induced renal fibrosis in mice.
    Journal of cellular physiology, 2018, Volume: 233, Issue:9

    Topics: Albuminuria; Animals; Cell Line; Chemokine CCL2; Collagen Type IV; Disease Models, Animal; Extracell

2018
Ameliorative effects of protodioscin on experimental diabetic nephropathy.
    Phytomedicine : international journal of phytotherapy and phytopharmacology, 2018, Dec-01, Volume: 51

    Topics: Albuminuria; Animals; Blood Glucose; Blood Urea Nitrogen; Carboxymethylcellulose Sodium; Cholesterol

2018
Metformin or Acarbose Treatment Significantly Reduced Albuminuria in Patients with Newly Diagnosed Type 2 Diabetes Mellitus and Low-Grade Albuminuria.
    Medical science monitor : international medical journal of experimental and clinical research, 2018, Dec-10, Volume: 24

    Topics: Acarbose; Adult; Aged; Albuminuria; Blood Glucose; Body Mass Index; China; Diabetes Mellitus, Type 2

2018
Maintenance of endothelial guanosine triphosphate cyclohydrolase I ameliorates diabetic nephropathy.
    Journal of the American Society of Nephrology : JASN, 2013, Volume: 24, Issue:7

    Topics: Albuminuria; Animals; Biopterins; Cell Line; Diabetes Mellitus, Experimental; Diabetic Nephropathies

2013
Age, renal dysfunction, cardiovascular disease, and antihyperglycemic treatment in type 2 diabetes mellitus: findings from the Renal Insufficiency and Cardiovascular Events Italian Multicenter Study.
    Journal of the American Geriatrics Society, 2013, Volume: 61, Issue:8

    Topics: Age Factors; Aged; Albuminuria; Cardiovascular Diseases; Cohort Studies; Diabetes Mellitus, Type 2;

2013
Daily exercise training protects against albuminuria and angiotensin converting enzyme 2 shedding in db/db diabetic mice.
    The Journal of endocrinology, 2014, Volume: 221, Issue:2

    Topics: Albuminuria; Angiotensin-Converting Enzyme 2; Animals; Combined Modality Therapy; Diabetes Complicat

2014
An inverse association between serum vitamin D levels with the presence and severity of impaired nerve conduction velocity and large fiber peripheral neuropathy in diabetic subjects.
    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2015, Volume: 36, Issue:7

    Topics: Adult; Albuminuria; Case-Control Studies; Diabetic Neuropathies; Female; Humans; Hypertension; Linea

2015
Metformin ameliorates podocyte damage by restoring renal tissue nephrin expression in type 2 diabetic rats.
    Journal of diabetes, 2017, Volume: 9, Issue:5

    Topics: Albuminuria; Animals; Blood Glucose; Diabetes Mellitus, Experimental; Diabetes Mellitus, Type 2; Die

2017
Changes in albumin excretion in the diabetes prevention program.
    Diabetes care, 2009, Volume: 32, Issue:4

    Topics: Adult; Aged; Albuminuria; Creatinine; Diabetes Mellitus; Diabetic Nephropathies; Female; Humans; Hyp

2009
Different antidiabetic regimens and the development of renal dysfunction in US Veterans with type 2 diabetes mellitus.
    Journal of investigative medicine : the official publication of the American Federation for Clinical Research, 2012, Volume: 60, Issue:7

    Topics: Albuminuria; Creatinine; Demography; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents;

2012
Soluble serum Klotho in diabetic nephropathy: relationship to VEGF-A.
    Clinical biochemistry, 2012, Volume: 45, Issue:16-17

    Topics: Aged; Albuminuria; Biomarkers; Case-Control Studies; Creatinine; Diabetes Mellitus, Type 2; Diabetic

2012
Renal podocyte injury in a rat model of type 2 diabetes is prevented by metformin.
    Experimental diabetes research, 2012, Volume: 2012

    Topics: 8-Hydroxy-2'-Deoxyguanosine; Albuminuria; Animals; Antioxidants; Apoptosis; Deoxyguanosine; Diabetes

2012
[Insulin resistance and its involvement in multiple risk factors associated with type 2 diabetes mellitus].
    Medicina clinica, 2002, Oct-12, Volume: 119, Issue:12

    Topics: Adult; Albuminuria; Diabetes Mellitus, Type 2; Europe; Female; Humans; Hypercholesterolemia; Hyperli

2002
[Intensified conventional insulin therapy in patients with type 2 diabetes mellitus. Positive long-term effects of insulin lispro on metabolic control and microalbuminuria].
    Fortschritte der Medizin. Originalien, 2001, Jan-11, Volume: 118, Issue:4

    Topics: Aged; Albuminuria; Diabetes Mellitus, Type 2; Diabetic Nephropathies; Dose-Response Relationship, Dr

2001