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SMBG Protocols Predicting Glucose Levels in Senior Diabetes Mellitus With CAD

Not Applicable
Completed
Conditions
Diabetes Mellitus, Type 2
Coronary Artery Disease
Registration Number
NCT01954771
Lead Sponsor
Beijing Anzhen Hospital
Brief Summary

Self-monitoring of blood glucose (SMBG) is a common way to assess glycemic control in diabetes management. Multiple times of blood glucose measurements by fingerstick in the same day are of tough challenge to it. The changes and variations of glucose excursion in senior diabetics with Coronary Artery Disease (CAD)involve a safety issue besides glycated hemoglobin (GHb) value. The goal of this study is to explore modified SMBG protocols for precisely monitoring and predicting glycemic excursion, variability in senior type 2 diabetics with CAD.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
89
Inclusion Criteria
  • Clinical diagnosis of type 2 diabetes
  • Clinical diagnosis of coronary artery disease
  • Age ≥65 years
  • The blood glucose is controlled by diets and (or) oral hypoglycemic drugs
  • BMI≤28 kg/m²
  • Being able to monitor and record capillary glucose value by themselves at home
Exclusion Criteria
  • Diabetic ketoacidosis (DKA)
  • Acute cardiovascular events
  • Anemia
  • Insulin treatment
  • Incapable to perform SMBG at home

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Evaluation of Peak and Nadir Glucose Profiles From Continuous Glucose Monitoring System (CGMS)12 weeks

The peak value:\>16.7mmol/L(which may precipitate ketosis),nadir:≤2.8mmol/L(Severe hypoglycemia).

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Severe Hypoglycemia (≤50 mg/dL or 2.8mmol/L),Captured by SMBG Method and CGMS12 weeks

Severe hypoglycemia is defined as glucose concentration of ≤2.8mmol/L (50 mg/dL).

HbA1c(%) at Endpoint12 weeks
The Correlation Study Between HbA1c and Glycemic Profiles of MBG (Mean Blood Glucose) From SMBG Protocols and CGMS12 weeks

A correlation coefficient of 0.5 is defined as large effect size.(Cohen Jacob.Statistical power analysis for the the behavioral sciences.2nd edition.Lawrence Erlbaum Associates.1988:80)

Trial Locations

Locations (1)

Capital Medical University Affiliated Beijing Anzhen Hospital

🇨🇳

Beijing, Beijing, China

Capital Medical University Affiliated Beijing Anzhen Hospital
🇨🇳Beijing, Beijing, China

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