Diabetes Mellitus, Type 1 Clinical Trial
Official title:
An Open-Label, Randomized, Two-Way, Parallel Study to Compare the Efficacy of MDI Treatment With Physician Adjusted and Optimization Algorithm Adjusted Basal-Bolus Parameters in Children and Adolescents With Type 1 Diabetes at a Diabetes Camp
Our lab at McGill University has developed an optimization algorithm for T1D MDI patients that estimates optimal basal-bolus parameters (basal injections and insulin-to-carbohydrate ratios) using glucose sensor data and insulin dosing data over several days. The algorithm examines daily glucose, insulin, and meal data to make changes in patients' basal injections and ICRs. The investigators hope that this algorithm will be able to optimize the patients' individual basal injections and ICRs in order to improve glycemic control.
The objective of this project is to compare our basal-bolus optimization algorithm with
physician adjusted basal-bolus parameters using a randomized parallel clinical trial in
children and adolescents at a Camp Carowanis. The investigators hypothesize that using this
optimization algorithm will be non-inferior to the physician-adjusted basal-bolus parameters
regarding time spent in target glucose range (3.9 mmol/L - 10mmol/L).
Between 40 and 68 children and adolescent type 1 diabetes patients undergoing MDI treatment
at Camp Carowanis will randomly undergo one of two interventions:
1. MDI with Physician Adjusted Basal-Bolus Parameters: Participants will be wearing the
Freestyle Libre glucose sensor (Abbott Diabetes Care). Participants will undergo their
conventional multiple daily injection (MDI) therapy. At breakfast, the research team
will download the sensor data. Camp physicians will review each participant's sensor and
insulin data and make changes to their parameters based on their clinical judgement, as
they would for all campers, regardless of study participation. These new parameters will
be entered into the patient's camp file.
2. MDI with Basal-Bolus Optimization Algorithm Adjusted Basal-Bolus Parameters:
Participants will be wearing the Freestyle Libre glucose sensor (Abbott Diabetes Care).
At breakfast, the data from the glucose sensor and injection information will be entered
into a computer and the optimization algorithm will be run. Camp physicians will review
the algorithm's recommendations before they are entered into the patient's camp file.
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