Type 2 Diabetes Clinical Trial
Official title:
An Evaluation and Comparison of Noninvasive Blood Glucose Concentrations Relative to Finger Capillary Blood Glucose References
The purpose of the study is to prospectively evaluate a noninvasive, near-infrared based method for measuring glucose concentration relative to invasive blood reference measurements. The initial phase of the study will be focused on procurement of the data needed to develop a robust, accurate calibration. The second phase will be focused on performance evaluation of the system.
Currently, individuals with diabetes must use an invasive finger stick methodology for the
determination of their blood glucose levels. Although current technology glucose meters use
a smaller amount of blood than older generation meters, the pain and inconvenience
associated with this invasive measurement is the number one reason cited for inadequate or
infrequent blood glucose monitoring. In fact up to 67% of patients with diabetes fail to
routinely monitor their blood glucose levels. A survey of 1895 patients showed that finger
soreness was the most common reason given for self-reported noncompliance with testing
recommendations, followed by pain, inconvenience, fear of needles, and "other" (including
cost), (Diabetes Care August 2001 vol. 24 no. 8 1502-1503). The ability to make a painless
blood glucose measurement using only light would address the pain and inconvenience issues
associated with current technology glucose meters.
The initial application of the technology is associated with the monitoring of Gestational
Diabetes. The International Association of Diabetes and Pregnancy Study Groups (IADPSG)
recently released recommendations for diagnosing gestational diabetes, as well as clarifying
the benefits of treatment (Diabetes Care, 2010;33:676-682). The IADPSG cited research that
found significant graded relationships between increasing maternal glucose levels and the
frequency of four primary and five secondary outcomes. For example, with a 1-standard
deviation increase in maternal fasting, 1-hour, and 2-hour plasma glucose levels, there was
a corresponding 38%, 46%, and 38% increased risk, respectively, in the primary outcome of
birth weight >90th percentile, and a 5%, 18%, and 16% increased risk, respectively, of the
secondary outcome of premature delivery before 37 weeks gestation (N Engl J Med
2008;358:1991-2002).
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