Clinical Trials Logo

Hyperglycemia Stress clinical trials

View clinical trials related to Hyperglycemia Stress.

Filter by:
  • None
  • Page 1

NCT ID: NCT05561517 Active, not recruiting - Type 1 Diabetes Clinical Trials

Competition Induced Hyperglycemia in Athletes With Type 1 Diabetes

EXCITE-1
Start date: May 1, 2023
Phase: N/A
Study type: Interventional

Design and methods 12 athletes with T1D and 12 healthy athletes are included in a prospective experimental randomized, cross-over study. Athletes are provided with a Dexcom G6 CGM to measure glucose excursions before, during and after exercise and a Holter ECG-E-patch to measure HRV. Psychological stress levels are assessed from Competitive State Anxiety Inventory-2. The athletes are studied on two occasions: Day 1: 5K running competition and Day 2: 5K high intensity training session (running) in the athletes' regular training environment. Endpoints Primary endpoints: Change in plasma glucose from start of exercise to end of exercise during competition compared to training. Secondary endpoints: Hormonal response (cortisol, adrenalin, noradrenaline). Changes in heart rate and HRV before, during and after exercise. CGM-glucose and plasma glucose discrepancies.

NCT ID: NCT05447806 Recruiting - Diabetes Clinical Trials

Diabetes Clinical Decision Support

Start date: July 15, 2022
Phase: N/A
Study type: Interventional

The purpose of this study is to determine the impact of an electronic medical record clinical decision support tool on rates of dysglycemia in the hospital, and its clinical and economical outcomes. The study also evaluates the perspectives of providers regarding the tool's usefulness on disease management support, knowledge, and practice performance.

NCT ID: NCT04862234 Recruiting - Clinical trials for Hyperglycemia Stress

Perioperative Stress Hyperglycemia in General and Vascular Surgery Patients

Start date: July 29, 2021
Phase: Phase 4
Study type: Interventional

Hyperglycemia is seen in approximately 30% of patients who do not have a history of diabetes and undergo general surgery. Hyperglycemia in this setting is associated with increased risk of postoperative complications. The purpose of this study is to investigate risk factors for developing high sugars during the time of surgery, and if these high sugars can be prevented by the use of an injectable diabetes medication (dulaglutide) prior to surgery.

NCT ID: NCT04797208 Recruiting - Clinical trials for Diabetes Mellitus, Type 2

Remote Glucose Monitoring in Hospital Settings

REMOTE-CGM
Start date: January 9, 2023
Phase: N/A
Study type: Interventional

Use of real-time continuous glucose monitoring (RT-CGM) systems in inpatient settings especially during the COVID-19 pandemic, may allow hospital staff to remotely monitor glucose while reducing viral exposure and preserving use of PPE. RT-CGM may be of benefit to inpatients with unstable glycaemia and at risk of severe hypoglycaemia, as it can automatically alert the treating clinical team of hypo and hyperglycaemia. This is of clinical relevance as up to 45% of inpatients with diabetes were found to have asymptomatic hypoglycaemia events in hospital, especially overnight. It may therefore provide a safer method of monitoring glycaemia in hospital compared to conventional bedside capillary glucose testing, by minimising the likelihood of hyper- and hypoglycaemic events and their known associated worse outcomes. The aim of this pilot study is to to demonstrate that use of Dexcom G6 RT-CGM may provide a safer and effective method of monitoring glycemia in hospital. Data from this pilot study will be used to design and implement a larger multi-centre pivotal trial.

NCT ID: NCT04266015 Completed - Clinical trials for Head and Neck Neoplasms

Anabolic Effects of Intraoperative Feeding in Reconstruction Surgery

Start date: April 16, 2020
Phase: N/A
Study type: Interventional

Perioperative fasting remains a common clinical practice in surgical patients to prevent the development of postoperative anesthesia- and surgical-related complications. Clinical observational studies indicated that the combination catabolic effects resulted from prolonged perioperative fasting and profound surgical stress are likely to induce extensive protein catabolism, muscle breakdown and impaired glycemic control during postoperative phase, leading to the development of severe complications. Furthermore, prolonged gastrointestinal fasting is associated with microbial translocation that deteriorates the early recovery after surgery. This clinical trial anticipates in determining the beneficial effect of intraoperative feeding to improve intraoperative hemodynamics and enhance postoperative recovery due to attenuation of systemic catabolism and improvement of insulin sensitivity to glycemic control.

NCT ID: NCT04058015 Completed - Hyperglycemia Clinical Trials

Outcome of Patients With Thoraco-abdominal Injury and Stress-induced Hyperglycemia or Diabetic Hyperglycemia

Start date: June 3, 2019
Phase:
Study type: Observational

This study aimed to measure the effects of SIH and DH on the mortality outcomes of the adult patients with moderate to severe thoracoabdominal injury

NCT ID: NCT04021186 Recruiting - Clinical trials for Surgery--Complications

An Optimization in the Postoperative Treatment in Head and Neck--surgical Patients.

Start date: July 5, 2019
Phase: N/A
Study type: Interventional

Based on glycemic load (overall increase in blood glucose), it is investigated whether better glycemic control (large fluctuations in blood glucose to abnormal values are attempted) can improve the postoperative phase of head and neck surgical patients who receive Dexamethasone (glucocorticoid). Furthermore it is examined whether this optimization in treatment can result in reduced hospitalization time and fewer re-admissions. Hypothesis: Continuous blood glucose measurement and insulin therapy will optimize the postoperative phase of the embedded head and neck patient receiving Dexamethasone by reducing the incidence of hyperglycaemia and associated complications.

NCT ID: NCT03094533 Completed - Clinical trials for Hyperglycemia Stress

TIVA and VIMA on Blood Glucose and Insulin Levels in Lung Lobectomy Patients

Start date: April 3, 2017
Phase: N/A
Study type: Interventional

The purpose of this study was to evaluate the efficacy and safety of sevoflurane-only Volatile induction and maintenance anesthesia (VIMA) and total intravenous anesthesia (TIVA) using only propofol in adult patients scheduled for elective lobectomy surgery. We would like to know if there is a difference in blood glucose levels during surgery and whether the cause is due to the difference in secretion of insulin and cortisol. In addition, we aim to contribute to the improvement of the prognosis of the patients by helping the selection of general anesthesia more effective in maintaining homeostasis in the surgical patients by general anesthesia and further controlling the blood glucose level.

NCT ID: NCT03012867 Completed - Clinical trials for Hyperglycemia Stress

Enteral Nutrition and Glucose Homeostasis

Start date: June 2010
Phase: Phase 4
Study type: Interventional

Different enteral nutrition formulas are tested on their effect on glucose homeostasis in critically ill medical patients.