Hyperglycemia in Patients with Stroke and Indication of Enteral Nutrition

NCT ID: NCT03422900

Last Updated: 2024-09-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-12

Study Completion Date

2021-09-30

Brief Summary

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The purpose of this study is to evaluate the effect of a specific nutritional formula for diabetics on the development of hyperglycemia in patients with recent non-diabetic stroke who require admission and enteral nutritional support by nasogastric tube. As well as the effect on metabolic control, development of comorbidities, hospital stay, readmissions, mortality and tolerance of the formula under study.

Detailed Description

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MAIN GOAL:

To evaluate the effect on the development of hyperglycemia diagnosed as glycemia\> 126 mg / dl on an empty stomach or\> 150 mg / dl during the infusion of enteral nutrition determined by capillary glycemia during the admission of a specific formula in patients with a first episode of ischemic stroke or hemorrhagic entry into the non-diabetic HCUV stroke unit requiring enteral nutrition by nasogastric tube.

Conditions

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Hyperglycaemia (Non Diabetic) Enteral Feeding Intolerance Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Comparison of two formulas of enteral nutrition (diabetes-specific enteral formula (lower glycemic index and presence of soluble and insoluble fiber) compared to an standard formula (isocaloric and isonitrogenated formula without fiber)) in patients without diabetes mellitus admitted due to stroke and with indication of nutritional support by nasogastric tube
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers
cover label

Study Groups

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Specific Diabetes Formula

Diabetes-Specific Enteral Formula:

* Caloric density: 1,0 kcal/ml
* Energy: 100 kcal
* Carbohydrates: 10,1 g/100 ml;
* Fat: 4,5 g/100 ml
* Prot: 3,8 g/100 ml
* Osmolarity: 345 mOsm/l
* Fiber: 1,78 g/100 ml (80% soluble; 20% insoluble).

Group Type EXPERIMENTAL

Diabetes-Specific enteral formula

Intervention Type DIETARY_SUPPLEMENT

Complete enteral formula normocaloric hyperproteic with fiber (80% SOLUBLE)

Standard Formula

Standard Enteral Formula:

* Caloric density: 1,0 kcal/ml
* Energy: 100 kcal
* Carbohydrates: 13,8 g/100 ml;
* Fat: 3,4 g/100 ml
* Prot: 3,8 g/100 ml
* Osmolarity: 220 mOsm/l
* Fiber: 0 g/100 ml

Group Type ACTIVE_COMPARATOR

Standard formula

Intervention Type DIETARY_SUPPLEMENT

Complete enteral formula normocaloric hormoproteic without fiber

Interventions

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Diabetes-Specific enteral formula

Complete enteral formula normocaloric hyperproteic with fiber (80% SOLUBLE)

Intervention Type DIETARY_SUPPLEMENT

Standard formula

Complete enteral formula normocaloric hormoproteic without fiber

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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DIABA Fresubin Original

Eligibility Criteria

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Inclusion Criteria

* Admitted for a first episode of ischemic or hemorrhagic stroke.
* Requiring total enteral nutrition by tube for at least 7 days

Exclusion Criteria

* Contraindication to enteral nutrition
* Diabetes Mellitus
* Gastrointestinal disease: ulcer, gastritis, diarrhea, gastroparesis, vomiting, abdominal pain
* Need for admission to the ICU
* Previous neurodegenerative disease
* Antibiotherapy for 7 days prior to the inclusion visit
* Allergies or intolerances to any of the components of the formula under study
* Pregnant patients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Endocrinology and Clinical Nutrition Research Center, Spain

OTHER

Sponsor Role lead

Responsible Party

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Daniel de Luis Roman

Profesor Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Daniel A De Luis Román, Prof. Dr.

Role: STUDY_DIRECTOR

Service of Endocrinology and Nutrition. Clinic Hospital University of Valladolid

Juan J López-Gómez, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Service of Endocrinology and Nutrition. Clinic Hospital University of Valladolid

Javier F Arenillas-Lara, Prof. Dr.

Role: STUDY_CHAIR

Service of Neurology. Clinic Hospital University of Valladolid

Locations

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Clinic Universitary Hospital

Valladolid, Valladolid, Spain

Site Status

Countries

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Spain

References

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Lopez-Gomez JJ, Delgado Garcia E, Primo-Martin D, Simon de la Fuente M, Gomez-Hoyos E, Jimenez-Sahagun R, Torres-Torres B, Ortola-Buigues A, Gomez-Vicente B, Arenillas-Lara JF, De Luis Roman DA. Effect of a diabetes-specific formula in non-diabetic inpatients with stroke: a randomized controlled trial. Nutr Diabetes. 2024 May 30;14(1):34. doi: 10.1038/s41387-024-00292-4.

Reference Type DERIVED
PMID: 38816400 (View on PubMed)

Other Identifiers

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CASVE-NM-17-315

Identifier Type: -

Identifier Source: org_study_id

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