Diabetes Mellitus Clinical Trial
Official title:
Evaluation of Oral Glucose Tolerance Testing in Patients With Post-pancreatitis Diabetes Mellitus for Diagnosis and Characterization: a Cross-sectional Trial
NCT number | NCT05989867 |
Other study ID # | ESTABLISH |
Secondary ID | |
Status | Recruiting |
Phase | |
First received | |
Last updated | |
Start date | March 1, 2023 |
Est. completion date | March 2025 |
Verified date | July 2023 |
Source | Changhai Hospital |
Contact | Zhuan Liao |
Phone | 13061921980 |
liaozhuan[@]smmu.edu.cn | |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
To evaluate the islet function and insulin secretion pattern of post-pancreatitis diabetes mellitus by oral glucose tolerance testing, and to explore the pathophysiological characteristics of PPDM-C which provide evidence for the diagnosis of PPDM-C.
Status | Recruiting |
Enrollment | 200 |
Est. completion date | March 2025 |
Est. primary completion date | December 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 15 Years to 85 Years |
Eligibility | Inclusion Criteria: 1. Age 15-85 2. patients with the diagnosis of chronic pancreatitis and diabetes mellitus (exclude type 1 diabetes). 3. participants with painless chronic pancreatitis were diagnosed with diabetes within 2 years of the diagnosis of chronic pancreatitis. 4. participants with painful chronic pancreatitis were diagnosed with diabetes after the first attack of chronic pancreatitis. 5. patients with chronic pancreatitis were previously diagnosed type 2 diabetes mellitus for more than 3 years. Exclusion Criteria: 1. Participants with suspected malignant tumors of the pancreas or other sites of the body (including pancreatic cyst and Benign pancreatic tumor), or participants in the terminal stage of severe disease 2. Prior pancreatic surgery (including total pancreatectomy, pancreaticoduodenectomy, distal pancreatectomy, pancreatojejunostomy, or Frey), and prior bariatric or gastrointestinal surgery. 3. Serious mental illness, lesion of the liver (alanine aminotransferase or aspartate aminotransferase > 3 times the upper reference limit) or kidney (eGFR<60 mL/min/1.73 m2), pregnancy, breastfeeding or planning pregnancy, or accompanied with active liver diseases such as hepatitis B or hepatic cirrhosis. 4. Diagnosed type 1 diabetes, or other metabolic diseases that affect blood glucose 5. Using high-dose insulin preparations, or drugs affecting glucose metabolism (oral steroids, thiazide diuretics, beta-blockers, beta-agonist, nicotinic acid, immunosuppressant agents, antiretroviral drugs, and antipsychotics) 6. Acute complications of diabetes (diabetic ketoacidosis, severe hypoglycemia), severe microvascular disease (proliferative diabetic retinopathy, known diabetic nephropathy or neuropathy requiring treatment), and macrovascular disease (uncontrolled arterial hypertension, uncontrolled coronary artery disease, congestive heart failure, history of cerebrovascular event, seizure disorder, syncope, adrenal insufficiency, neurologic disease or atrial fibrillation) within the 12 months prior to enrollment. 7. Hospitalization for acute pancreatitis within the 2 months prior to enrollment or currently suffering acute inflammation. 8. Have been enrolled or currently participating in other clinical trials within the 3 months prior to enrollment. 9. Patients who refused to participate in the study |
Country | Name | City | State |
---|---|---|---|
China | Department of Gastroenterology, Changhai Hospital | Shanghai | Shanghai |
Lead Sponsor | Collaborator |
---|---|
Changhai Hospital |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | steamed bun meal test result 1 | Levels of glucose under the steamed bun meal experiment (100g flour made steamed bun) | Within 5 hours after the end of the steamed bread meal test | |
Primary | steamed bun meal test result 2 | Levels of c-peptide bun meal experiment (100g flour made steamed bun) | Within 6 hours after the end of the steamed bread meal test | |
Primary | steamed bun meal test result 3 | Levels of insulin under the steamed bun meal experiment (100g flour made steamed bun) | Within 7 hours after the end of the steamed bread meal test | |
Secondary | gut hormone | Levels of gut hormone under the steamed bun meal experiment (100g flour made steamed bun) | up to 1 month | |
Secondary | Continuous glucose monitor results | Time to target range (TIR) : the proportion of time with blood glucose fluctuation | after using continuous glucose monitor device for 7-14 days | |
Secondary | glycemic control | glycosylated hemoglobin(%) | at the time of enrollment |
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