Efficacy and Safety of Premixed Insulin Treatment in Patients With Type 2 Diabetes Mellitus

NCT ID: NCT04847219

Last Updated: 2021-09-27

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

239 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-09

Study Completion Date

2021-04-30

Brief Summary

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The aim of the study is to investigate the efficacy and safety of premixed insulin treatment in patients With type 2 diabetes mellitus using professional and personal Flash Glucose Mornitoring.

Detailed Description

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Professional and personal Flash Glucose Mornitoring will be used in patients with type 2 diabetes who are treated with premixed insulin. The frequency of hypogycemia and the blood glucose control will be analyzed by flash glucose mornitoring once a month for 3 months and doctors will adjust the hypoglycemia treatment according to the results every month. HbA1c, glycemic variation, beta-cell function and androgen levels will be measured.

Conditions

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Type 2 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Professional flash glucose mornitoring

Professional flash glucose mornitoring will be used in patients once a month for 3 months to monitor glucose level. Patients can learn their blood glucose levels via capillary blood glucose tests, but nor FGM duing FGM, and doctors will adjust their anti-diabetic therapy according to their FGM results after each monitoring.

Group Type PLACEBO_COMPARATOR

Professional flash glucose mornitoring

Intervention Type DEVICE

Subjects will use Professional flash glucose mornitoring once a month for 3 months.

Personal flash glucose mornitoring

Personal flash glucose mornitoring will be used in patients once a month for 3 months to monitor glucose level. Patients can learn their blood glucose levels via FGM duing FGM, and doctors will adjust their anti-diabetic therapy according to their FGM results after each monitoring.

Group Type ACTIVE_COMPARATOR

Personal flash glucose mornitoring

Intervention Type DEVICE

Subjects will use Personal flash glucose mornitoring once a month for 3 months.

Interventions

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Professional flash glucose mornitoring

Subjects will use Professional flash glucose mornitoring once a month for 3 months.

Intervention Type DEVICE

Personal flash glucose mornitoring

Subjects will use Personal flash glucose mornitoring once a month for 3 months.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. participate voluntarily and sign the subject informed consent before the test.
2. for patients with type 2 diabetes who met WHO1999 diagnostic criteria, subcutaneous injection with premix insulin Bid/Tid, single drug and/or combination of oral hypoglycemic drugs, the treatment regimen was stable for more than 2 months.
3. no acute complications such as diabetic ketoacidosis and diabetic hyperosmolar syndrome.
4. subjects are able and willing to undergo FGM examination, diet and exercise regularly.

Exclusion Criteria

1. patients treated with GLP-1 agonist in the last 3 months
2. patients who are allergic to insulin.
3. impaired liver and renal function, ALT 2.5 times higher than the upper limit of normal value;Serum creatinine was 1.3 times higher than the upper limit of normal.
4. a history of drug abuse and alcohol dependence within the past 5 years.
5. used systemic hormone therapy in recent 3 months.
6. patients with poor compliance and irregular diet and exercise.
7. patients with infection and stress within four weeks.
8. patients who cannot tolerate flash glucose mornitoring.
9. patients who are pregnant, nursing or or preparing to become pregnant.
10. any other apparent condition or comorption as determined by the investigator, such as severe heart and lung disease, endocrine disease, neurological disease, tumor disease, other pancreatic disease, history of mental illness.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wuxi Hospital of Traditional Chinese Medicine

UNKNOWN

Sponsor Role collaborator

Wuxi People's Hospital Affiliated to Nanjing Medical University

UNKNOWN

Sponsor Role collaborator

Huai'an Second People's Hospital and the Affiliated Huai'an Hospital of Xuzhou Medical University

UNKNOWN

Sponsor Role collaborator

The Affiliated Suqian First People's Hospital of Nanjing Medical University

UNKNOWN

Sponsor Role collaborator

Nanjing First Hospital, Nanjing Medical University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jianhua Ma, MD

Role: STUDY_CHAIR

The First Affiliated Hospital with Nanjing Medical University

Locations

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Nanjing First Hospital

Nanjing, Jiangsu, China

Site Status

Countries

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China

References

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Kong D, Shen Z, Jiang L, Xie X, Yan R, Jing T, Hu Y, Ma J. The effects of vildagliptin on glycemic variability in patients with type 2 diabetes on premixed insulin therapy. Front Endocrinol (Lausanne). 2025 Jun 20;16:1508918. doi: 10.3389/fendo.2025.1508918. eCollection 2025.

Reference Type DERIVED
PMID: 40620795 (View on PubMed)

Yan RN, Cai TT, Jiang LL, Jing T, Cai L, Xie XJ, Su XF, Xu L, He K, Cheng L, Cheng C, Liu BL, Hu Y, Ma JH. Real-Time Flash Glucose Monitoring Had Better Effects on Daily Glycemic Control Compared With Retrospective Flash Glucose Monitoring in Patients With Type 2 Diabetes on Premix Insulin Therapy. Front Endocrinol (Lausanne). 2022 Feb 10;13:832102. doi: 10.3389/fendo.2022.832102. eCollection 2022.

Reference Type DERIVED
PMID: 35222287 (View on PubMed)

Cai T, Hu Y, Ding B, Yan R, Liu B, Cai L, Jing T, Jiang L, Xie X, Wang Y, Wang H, Zhou Y, He K, Xu L, Chen L, Cheng C, Ma J. Effect of Metformin on Testosterone Levels in Male Patients With Type 2 Diabetes Mellitus Treated With Insulin. Front Endocrinol (Lausanne). 2021 Dec 24;12:813067. doi: 10.3389/fendo.2021.813067. eCollection 2021.

Reference Type DERIVED
PMID: 35002984 (View on PubMed)

Other Identifiers

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KY20190926-01

Identifier Type: -

Identifier Source: org_study_id

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