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Does exogenous glucagon-like peptide-1 (GLP-1) attenuates the glycaemic response to small intestinal nutrient in critically ill patients with pre-existing type-2 diabetes?

Phase 2
Completed
Conditions
Blood Glucose
Type-2 Diabetes
Metabolic and Endocrine - Diabetes
Registration Number
ACTRN12610000185066
Lead Sponsor
Adam Deane
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
10
Inclusion Criteria

Inclusion criteria
Critically ill patients with pre-existing type- 2 diabetes (not requiring insulin prior to hospital) and who require artificial ventilation
Likely to be ventilated for >48hrs
Suitable to receive enteral nutrition via naso-jejunal feeding tube

Exclusion Criteria

Age <18 Age>85 Pregnancy Small bowel obstruction History of insulin-requiring diabetes Previous surgery on the oesophagus, stomoach or duodenum Any gastrointestinal surgery on this admission

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Blood glucose during small intestinal feeding (as measured as Area under the curve)[4 hours (30-270 min)]
Secondary Outcome Measures
NameTimeMethod
Blood glucose (time above 10 mmol/l)[actual time. Blood glucose will be monitored every 15 minutes throughout the study period];Peak blood glucose[actual time between t=30-270 min];Regulatory and counter-regulatory hormone release. Measured using plasma Insulin and glucagon concentrations[Every 30 minutes for the first 150 minutes and thereafter every 60 minutes until 270 min]
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