About this trial
Traditional diabetes therapies focus on improving blood sugar control. However, many studies show that this may not be enough. New treatments focusing on weight loss have heralded better results. One of these treatments is Semaglutide and the investigators wish to examine its effects further in this study. The investigators propose to investigate what happens to the fat inside the heart and the leg muscles.
Eligibility criteria
Qualifiers
Patients with a confirmed diagnosis of type 2 diabetes established in the previous 10 years between the ages of 20 and 75
HbA1c ≥ 53 mmol/mol (7%) typically on diet and/or metformin/sulphonylureas (and/or sodium-glucose cotransporter-2 inhibitors, Dipeptidyl peptidase 4 inhibitors, thiazolidinediones, but not on insulin)
Patients who do not meet the WHO recommendations on physical activity (≤150 minutes per week) of moderate-vigorous physical activity (MVPA)
Patients who have a BMI of ≥27 but with a body weight of less than 140kgs due to limitations of the scanner table weight limit
Disqualifiers
Any previously unknown cardiac condition other than mild valvular disease
Any history of known coronary artery disease (including myocardial infarction and myocardial infarction with normal coronary arteries)
Any relevant or untreated endocrine condition (i.e. Cushings)
Impaired renal function (defined as estimated glomerular filtration rate of less than 30 mL/min/1.73m2)
Trial design
Treatments tested in this trial
- Semaglutide administration plus dietary counselling and physical activity encouragement
- Semaglutide plus a personalised and supervised program of resistance and endurance training
Treatment groups
Sponsors and collaborators
University of Aberdeen
Lead sponsor
NHS Grampian
Collaborator