Efficacy of Remote Intervention by Medical Staff Based on a Cloud System of Continuous Glucose Monitoring Data in Patients With Insulin-dependent Diabetes Using a Flash Sensor-based Glucose Monitoring (FSGM)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Type 1 Diabetes Mellitus
- Sponsor
- Young Shin Song
- Enrollment
- 36
- Locations
- 1
- Primary Endpoint
- Changes in glycemic control measured by HbA1c
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
To investigate the efficacy of remote intervention by medical staff based on a cloud system of continuous glucose monitoring data in patients with insulin-dependent diabetes using flash sensor-based glucose monitoring (FSGM).
Detailed Description
* Previous studies have been reported on the efficacy of CGM or FSGM and education on glucose control in insulin-dependent diabetes patients. * This study aims to investigate whether it is more effective to receive remote intervention by medical staff based on a cloud system, than only to use FSGM and receive general education on FSGM. * Trial design : parallel group, allocation ratio 1:1, a superiority study design
Investigators
Young Shin Song
A ssistant Professor
CHA University
Eligibility Criteria
Inclusion Criteria
- •Men or women aged 19 to 75 years old
- •Patients with type 1 diabetes
- •Patients on multiple daily insulin-injection or continuous subcutaneous insulin infusion therapy for more than 1 year
- •Patients with HbA1c ≥ 7.0% at screening
- •Patients willing to use a FSGM system
- •Patients with informed consent
Exclusion Criteria
- •Gestational diabetes patients
- •Patients within 1 year of diabetic diagnosis
- •Patients taking drugs for severe cognitive impairment or psychiatric problems
- •Patients who received oral or parenteral corticosteroid therapy for more than 7 consecutive days within 1 month before screening test
- •Patients with severe infection, before and after surgery, and severe trauma
- •Patients on dialysis at the end of renal failure
- •Patients who have a history of substance abuse or alcoholism within 12 weeks through patient history taking, diagnosis records, and past treatment records
- •Pregnant or lactating women
- •Participating in other clinical trials under R\&D other than this clinical trial, or if other clinical trial drugs are administered within 4 weeks before the trial
- •Patients who are using a CGMS/FSGM or who have been using it within 12 weeks
Outcomes
Primary Outcomes
Changes in glycemic control measured by HbA1c
Time Frame: 3 months
Difference between baseline HbA1c and follow-up HbA1c
Secondary Outcomes
- Changes in the mean glucose values(3 months)
- Changes in hypoglycemic episodes(3 months)
- Changes in the patient relative satisfaction with treatment assessed by questionnaires(3 months)
- Changes in depression assessed by questionnaires(3 months)
- Changes in the duration of hypoglycemic episodes(3 months)
- Changes in the duration of hyperglycemic episodes(3 months)
- Changes in blood pressure(3 months)
- Changes in body weight(3 months)
- Lifestyle changes in the duration of exercises(3 months)
- Changes in the time in range(3 months)
- Changes in the mean number of scans(3 months)
- Changes in the frequency of use of trend arrows(3 months)
- Changes in the insulin dose(3 months)
- Changes in the lipid parameter(3 months)
- Lifestyle changes in diet(3 months)
- Lifestyle changes in the number of exercises(3 months)
- Changes in the patient absolute satisfaction with treatment assessed by questionnaires(3 months)
- Changes in anxiety assessed by questionnaires(3 months)