Diabetic Clinical Trial
Official title:
Evaluation of Glycemic Profiles in Diabetic Patients on Dialysis Under Insulin Balsal-bolus Protocol, Using Freestyle Libre. Observational Prospective Study Without Modification of Management.
Verified date | June 2020 |
Source | University Hospital, Montpellier |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
In France, chronic end-stage renal disease affects more than 11,000 new patients each year
who will require dialysis or renal transplantation, of whom approximately 22.6% of new cases
are related to diabetes. Among them, about 94% are managed by hemodialysis (HD), the others
by peritoneal dialysis (PD). In addition, nearly 42% of dialysis patients have diabetes.
There are issues related to glycemic control during dialysis and specific to each dialysis
technique. Thus, hypoglycemic risk is the main risk observed during hemodialysis sessions,
linked in particular to the use of a 1g/L glucose free dialysate, a decrease in renal
neoglucogenesis and alterations in metabolic pathways. In addition, long-term glycemic
control is difficult to assess in dialysis patients, because of the limitations of HbA1c
witch is frequently underestimated.
This can be explained by 2 mechanisms:
- EPO treatment is associated with an increase in the proportion of young érythrocytes
- reduction in the lifetime of red blood cells reducing the duration of interaction
between glucose and hemoglobin.
The results of studies conducted using continuous glucose measurements over a short period of
time (48 hours to 5 days) suggest a benefit in using continuous glucose measurement to detect
glycemic fluctuations during dialysis. To our knowledge, no studies have been conducted to
evaluate longer-term glycemic control with this technology. In addition, the investigators
now have the Freestyle, which allows us to record the continuous measurement of interstitial
glucose over a longer period of time and is reimbursed for people on insulin basal-bolus
protocol.
Thus, the investigators propose an observational study to evaluate glycemic control during
dialysis sessions, but also to analyze the correlation between parameters measured with
Freestyle and HbA1c measured routinely, according to the follow-up recommendations in
diabetics.
Status | Completed |
Enrollment | 80 |
Est. completion date | May 30, 2020 |
Est. primary completion date | May 1, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion criteria: - Subjects over 18 years of age - dialysis patients - diabetics (any diabetes) - any anti-diabetic treatment - no objection form Exclusion criteria: - Objection of the subject - Subject under guardianship or tutelage |
Country | Name | City | State |
---|---|---|---|
France | Uhmontpellier | Montpellier |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Montpellier |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Evaluate the time in range glycemic profile | Evaluate the time in range glycemic profile in diabetic patients undergoing dialysis | 12 month | |
Secondary | Time above range of glycemic target | Time above range of glycemic target | 6 month | |
Secondary | Time below range of glycemic target | Time below range of glycemic target | 6 month | |
Secondary | Glucose management Indicator | Glucose management Indicator | 6 month | |
Secondary | Number of hypoglycemic events | Number of hypoglycemic events | 6 month | |
Secondary | mean number of scans on diabetic subjects in Dialysis. | mean number of scans on diabetic subjects in Dialysis. | 6 month | |
Secondary | Evaluate the Delta between measured HbA1c and GMI. | Evaluate the Delta between measured HbA1c and GMI. | 6 month | |
Secondary | Evaluate the correlation between average interstitial glucose measured at Freestyle and measured HbA1c. | Evaluate the correlation between average interstitial glucose measured at Freestyle and measured HbA1c. | 6 month |
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