Incidence of Hypoglycaemia Events in Patients With Stable Insulin-treated Type 2 Diabetes Mellitus Based on Continuous Glucose Monitoring
NCT ID: NCT05461716
Last Updated: 2022-07-18
Study Results
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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UNKNOWN
75 participants
OBSERVATIONAL
2022-01-01
2023-03-31
Brief Summary
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The aim of the present study is to contribute to the identification of subgroups of T2DM patients with high risk of hypoglycemia events, based on periodic use of Continuous Glucose Monitoring (CGM).
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Detailed Description
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However these trials usually exclude adults with poor health and comorbidities, when they support the concept that intensive strategies for selected individuals can be effective and safe. The compendium of results from these and other published analyses suggests that although some patients may benefit from tighter targets, many are unable to reach these targets, and aggressive therapy may be harmful to some patients without the benefit of reducing complications.
Although avoidance of hypoglycaemia is a critical treatment strategy, overall glucose control remains an important goal. The present treatment guidelines fail to locate the proper subgroup of patients with Type 2 Diabetes Mellitus (T2DM), that could be benefited of glycemic control balanced with the adverse effects of glucose-lowering medications and a patient's age, overall health status, and functional and intellectual capacity. The aim of the present study is to contribute to the identification of subgroups of T2DM patients with high risk of hypoglycemia events, based on periodic use of Continuous Glucose Monitoring (CGM).
Conditions
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Study Design
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CASE_CROSSOVER
PROSPECTIVE
Interventions
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periodic use of Continuous Glucose Monitoring (CGM)
Identification of hypoglycaemia events, based on use of Continuous Glucose Monitoring (CGM) for at least 14days, in subgroups of T2DM patients with high risk of hypoglycaemia
Eligibility Criteria
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Inclusion Criteria
* having type 2 diabetes for at least 1 year
* being on insulin therapy for at least 3 months before recruitment
* having the ability to perform self-monitoring
* being able to wear a CGM system during 2 weeks
* having a stable metabolic situation, defined as having no need to add new treatments or make any changes in insulin dosage of more than 10% in the preceding 2 months
Exclusion Criteria
* Being institutionalised or person not capable of giving consent
* Pregnancy
40 Years
ALL
No
Sponsors
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Centre for Research and Technology Hellas
OTHER
University of Ioannina
OTHER
George E. Dafoulas
OTHER
Responsible Party
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George E. Dafoulas
Clinical Research Fellow
Locations
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Department of Endocrinology and Metabolic Diseases, University Hospital of Larisa
Larissa, Thessaly, Greece
Countries
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Central Contacts
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Facility Contacts
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References
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Pazos-Couselo M, Garcia-Lopez JM, Gonzalez-Rodriguez M, Gude F, Mayan-Santos JM, Rodriguez-Segade S, Rodriguez-Garcia J, Casanueva F. High incidence of hypoglycemia in stable insulin-treated type 2 diabetes mellitus: continuous glucose monitoring vs. self-monitored blood glucose. Observational prospective study. Can J Diabetes. 2015 Oct;39(5):428-33. doi: 10.1016/j.jcjd.2015.05.007. Epub 2015 Aug 5.
Seaquist ER, Anderson J, Childs B, Cryer P, Dagogo-Jack S, Fish L, Heller SR, Rodriguez H, Rosenzweig J, Vigersky R. Hypoglycemia and diabetes: a report of a workgroup of the American Diabetes Association and the Endocrine Society. Diabetes Care. 2013 May;36(5):1384-95. doi: 10.2337/dc12-2480. Epub 2013 Apr 15.
Other Identifiers
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857223-UC3GR
Identifier Type: -
Identifier Source: org_study_id
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