Diabetes Mellitus Type 1 Clinical Trial
Official title:
Effects of New Longacting Insulin Analogs on Metabolic Control, Endogenous Insulin Production, GH/IGF-I Axis and Quality of Life - Comparison of NPH, Glargine Och Detemir Insulin From the Debut of Type 1 Diabetes Mellitus in Adolescents
Hypothesis: Basal insulin analogs with continuous 24-hour delivery of insulin improve
glycemic control during the first year of treatment of children/adolescents with type 1
diabetes mellitus (T1DM)by preserving endogenous insulin production and a close to normal
balance of the GH-IGF-axis.
This a randomized, open-label, parallel-group trial of 120 children, 7 - 17 years of age,
newly diagnosed with T1DM. The investigators will investigate whether the use of long-acting
basal insulin analogs Lantus (Glargine) or Levemir (Detemir) during the first year of
treatment results in improved glycemic control (HbA1c) compared with Insulatard (NPH
insulin) when given in a meal insulin therapy regimen with rapid acting Novorapid (insulin
aspart). The investigators will explore possible mechanisms of action by determining
remaining endogenous insulin production and changes in the GH-IGF-axis. The investigators
will also assess changes in body composition and evaluate quality of life in each treatment
arm.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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