The Effect of Gastric Emptying on Blood Glucose Profile of Type 1 Diabetes Mellitus and Its Therapeutic Strategies

NCT ID: NCT06173934

Last Updated: 2023-12-18

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

RECRUITING

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-01

Study Completion Date

2025-12-31

Brief Summary

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Establish a cohort study to describe the characteristics of gastric emptying in patients with type 1 diabetes, and adjust the timing of insulin injection during meals to improve blood glucose fluctuations according to the speed of gastric emptying.

Detailed Description

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1\. T1DM that met the inclusion criteria was tested with baseline blood routine, biochemical and complication screening, and FGM monitoring for 14 days (patient blindness) on the basis of the original regimen (insulin pump or basic insulin combined with fast-acting insulin before three meals); A stable diet should be maintained before and during the study.

1. T1DM that met the inclusion criteria was tested with baseline blood routine, biochemical and complication screening, and FGM monitoring for 14 days (patient blindness) on the basis of the original regimen (insulin pump or basic insulin combined with fast-acting insulin before three meals); A stable diet should be maintained before and during the study.
2. On the 7th day of FGM monitoring, 13C-GEBT examination was performed on an empty stomach;
3. Starting from day 8, patients were divided into groups according to the comparison of gastric emptying T50 with pre-experimental healthy people. Group A, patients with rapid gastric emptying, adjusted the time of fast-acting insulin injection to 15 minutes before meals; Group B, patients with slow gastric emptying, adjusted the time of fast-acting insulin injection to 15 minutes after eating.
4. FGM monitoring was completed on the 14th day and the study was concluded. 2. On the 7th day of FGM monitoring, 13C-GEBT examination was performed on an empty stomach;

3\. Starting from day 8, patients were divided into groups according to the comparison of gastric emptying T50 with pre-experimental healthy people. Group A, patients with rapid gastric emptying, adjusted the time of fast-acting insulin injection to 15 minutes before meals; Group B, patients with slow gastric emptying, adjusted the time of fast-acting insulin injection to 15 minutes after eating.

4\. FGM monitoring was completed on the 14th day and the study was concluded.

Conditions

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Diabetes

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Patients with rapid gastric emptying

Patients with rapid gastric emptying

Group Type EXPERIMENTAL

insulin injection 15 minutes before meals

Intervention Type DRUG

Adjust insulin injection time to observe blood glucose spectrum

Patients with slow gastric emptying

Patients with slow gastric emptying

Group Type EXPERIMENTAL

Insulin injection 15 minutes after eating

Intervention Type DRUG

Adjust insulin injection time to observe blood glucose spectrum

Interventions

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insulin injection 15 minutes before meals

Adjust insulin injection time to observe blood glucose spectrum

Intervention Type DRUG

Insulin injection 15 minutes after eating

Adjust insulin injection time to observe blood glucose spectrum

Intervention Type DRUG

Other Intervention Names

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insulin regulation insulin regulation

Eligibility Criteria

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Inclusion Criteria

* 1.Volunteer and sign subject informed consent prior to the trial.

2.Patients with type 1 diabetes, aged less than 70 years, 7%≤HbA1c≤9.0%.

3.There were no acute complications such as diabetic ketoacidosis and diabetic hypertonic syndrome.

4.Subjects were able and willing to undergo 14-day scanning blood glucose monitoring, diet and exercise routine.

Exclusion Criteria

* 1.Patients with severe gastrointestinal symptoms, history of gastrointestinal disease, surgical history, or impaired liver and kidney function.

2.Patients who have used drugs that affect gastrointestinal function or appetite in the last week.

3.History of drug abuse and alcohol dependence within the past 5 years.

4.Systemic hormone therapy was used in the last three months.

5.Patients with poor compliance, irregular diet and exercise.

6.Patients with infection and stress within four weeks.

7.Patients who could not tolerate 14-day scanning blood glucose monitoring.

8.Patients who are pregnant, nursing or intending to become pregnant.

9.Any other obvious condition or comorbidities determined by the investigator: such as serious cardiopulmonary disease, endocrine disease, neurological, neoplastic, other pancreatic disease, history of mental illness.
Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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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

Role: PRINCIPAL_INVESTIGATOR

Nanjing Medical University affiliated Nanjing First Hospital

Locations

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Nanjing First Hospital, Nanjing Medical University

Nanjing, Jiangsu, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yong Luo

Role: CONTACT

Phone: +86 18951670850

Email: [email protected]

Facility Contacts

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Jianhua Ma, Professor

Role: primary

Other Identifiers

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KY20230915-11

Identifier Type: -

Identifier Source: org_study_id