Earlier Diagnosis of Peripheral Neuropathy Using A Simple sCreening Tool (ACT)
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 150
- 试验地点
- 1
- 主要终点
- Validation of the ACT tool
研究概览
简要总结
This study is looking at people with diabetes (type 1 and type 2 diabetes) to see how well a short questionnaire, called the ACT, can identify nerve damage in the feet and legs (also known as peripheral neuropathy). The investigators will compare the ACT questionnaire to other commonly used tools (the DN4 and Michigan Neuropathy Screening Instrument) and to an eye-test that detects small nerve fibers in the eye (called corneal confocal microscopy, or CCM).
The main goal is to find out if the ACT questionnaire is accurate in detecting nerve damage and painful nerve damage caused by diabetes.
The investigators will also look at whether changes in blood sugar levels, measured with a continuous glucose monitor (Freestyle Libre 3 and iCan), are linked to nerve pain and small nerve fiber damage.
详细描述
This a cross-sectional cohort study in patients with diabetes with the aim of assessing the validity and diagnostic accuracy of the ACT questionnaire in identifying peripheral neuropathy (PN) in patients with diabetes and explore underlying mechanisms for nerve damage. The primary endpoint is to validate the ACT tool in identifying diabetic painful neuropathy against the DN4 questionnaire, Michigan Neuropathy Screening Instrument (MNSI) and in relation to underlying small nerve fibre damage (CCM). And the secondary endpoints include the investigation of the association between glycemic indices using continuous glucose monitoring (CGM- Freestyle Libre 3 and iCan) with neuropathic pain (ACT/DN4/MNSI) and small nerve fibre damage (CCM).
Participants will attend 3 visits and the following will be assessed:
- Visit 1(baseline): Consent, screening, CCM, ACT, MNSI, DN4, CGM (Freestyle Libre 3).
- Visit 2 (14-days follow-up): CGM (freestyle Libre 3), ACT, MNSI, DN4
- Visit 3 (between 1-6 months): CGM (iCan)
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with diabetes (T1DM and T2DM)
- •Able to provide consent.
- •Able to sit still for corneal confocal microscopy
排除标准
- •Failure to provide informed consent
- •Participants with a history of ocular trauma or previous ocular surgery in the preceding 6 months, are allergic to oxybuprocaine or local anesthetics or unable to cooperate by holding still or placing their chin on an optical device
- •Other causes of peripheral neuropathy: vitamin B12 deficiency; hypothyroidism; myeloma.
- •Cognitively impaired participants
- •Pregnant women
- •Nursing women
结局指标
主要结局
Validation of the ACT tool
时间窗: Baseline (Day 1) and then 14 days after visit 1
Identification of number of participants with diabetic peripheral neuropathy as assessed by the ACT tool.
次要结局
未报告次要终点