In-hospital Diabetes Management With Flash Glucose Monitoring (isCGM) - the INDIGO Study, Part A
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Type 1 Diabetes Mellitus
- Sponsor
- University of Aarhus
- Enrollment
- 13
- Locations
- 1
- Primary Endpoint
- Glucose time in range (3,9-10 mmol/l) (% pr day)
- Status
- Terminated
- Last Updated
- 3 years ago
Overview
Brief Summary
The aim of the study is to investigate the applicability of a Flash glucose monitoring sensor (Freestyle Libre, isCGM) for in-hospital glucose monitoring in patients with diabetes requiring nutritional therapy (tube feeding or parenteral feeding).
Detailed Description
All patients who meet study criteria will be invited to participate in the study. All patients included in the study will be followed by a trained clinical diabetes specialist and a trained study nurse (study personnel) for glucose management during their hospitalization. All patients included in the study will receive a Freestyle Libre isCGM. The patients will be randomized to control (blinded isCGM glucose values to patient and study personnel and POC (point-of-care) plasma glucose will be used for adjusting diabetes treatment) or intervention (isCGM blood glucose values will be used to aid with glucose management during the hospitalization). The study personnel will work with the patient's care team.
Investigators
Julie Støy
Principal investigator
University of Aarhus
Eligibility Criteria
Inclusion Criteria
- •Expected length of hospital stay of at least 48 hours
- •Diagnosed with diabetes
- •Literate in Danish
- •Nutritional therapy using tube feeding or parenteral nutritional therapy
- •Admission to Department of Gastrointestinal Surgery or Department of Heart-, Lung-, and Vascular surgery, both at Aarhus University Hospital, Denmark.
Exclusion Criteria
- •Pregnancy
- •Patient unable to provide informed consent
- •Patient unable to use mobile phone for reading isCGM sensor
- •Known allergy to adhesives
- •Anticipated MRI during the hospital admission
- •Patients using CGM prior to hospital admission
Outcomes
Primary Outcomes
Glucose time in range (3,9-10 mmol/l) (% pr day)
Time Frame: 2-14 days
Glucose time in range (3,9-10 mmol/l) when diabetes treatment is adjusted using isCGM compared with standard care using POC plasma glucose monitoring (PG) (% pr day)
Secondary Outcomes
- Mean glucose (mmol/l) isCGM versus POC PG(2-14 days)
- Glycemic variability; coefficient of variation (CV) (in %)(2-14 days)
- Glycemic variability; standard deviation (SD)(2-14 days)
- Time in hypoglycemia (<3 mmol/L) (%)(2-14 days)
- Time in hypoglycemia (<3,9 mmol/l) (%)(2-14 days)
- Time with active isCGM(2-14 days)
- Number of events with hypoglycemia (<3,9 mmol/l) (%)(2-14 days)
- Daily total insulin dosage (IE)(2-14 days)
- Time in hyperglycemia (>10 mmol/l) (%)(2-14 days)
- Glucose out of range: Time in hypoglycemia and time in hyperglycemia (<3,9 and >10 mmol/l) (%)(2-14 days)