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Hypoglycemia clinical trials

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NCT ID: NCT00608179 Completed - Type 2 Diabetes Clinical Trials

Glimepiride Induced Insulin Secretion Will be Inhibited by Hypoglycemia

Start date: August 2002
Phase: N/A
Study type: Interventional

This study will look at two FDA approved medications that improve how the pancreas works in patients with Type 2 Diabetes. In order to understand how these medications work in patients with diabetes we must first measure the normal response in healthy volunteers without diabetes. We will be looking at the body's normal physiological response to low blood sugar and whether this will be modified by these medicationsThe hypothesis would be that glimepiride induced insulin secretion will be inhibited by hypoglycemia.

NCT ID: NCT00607646 Completed - Type 1 Diabetes Clinical Trials

Hypoglycemia Associated Autonomic Failure in Type 1 Diabetes Mellitus

Start date: October 2010
Phase: Early Phase 1
Study type: Interventional

Elevations of plasma cortisol, a stress hormone, during prior episodes of low blood sugar (hypoglycemia) appear to be responsible for the deficient responses during subsequent hypoglycemia. Our specific aim is to determine if dehydroepiandrosterone (DHEA), a hormone with anti-corticosteroid actions, can prevent hypoglycemia associated autonomic failure in type 1 diabetic volunteers.

NCT ID: NCT00607139 Completed - Type 1 Diabetes Clinical Trials

Hormone Responses During Hypoglycemia and the Accuracy of Continuous Glucose Monitors

Start date: December 2006
Phase: N/A
Study type: Observational

The primary objective of this study will be to compare the glucose level at which counter-regulatory hormone responses occur during hypoglycemia in young children with diabetes, with the glucose level counter regulatory hormone responses that occur in older children with diabetes.

NCT ID: NCT00592670 Completed - Type 1 Diabetes Clinical Trials

Hypoglycemia Associated Autonomic Failure in Type 1 DM

Start date: March 2005
Phase: N/A
Study type: Interventional

It is unclear what effect selective serotonin reuptake inhibitors (SSRIs) have on hypoglycemia. Thus, the American Hospital Formulary Service recommends careful monitoring of blood glucose levels in all patients with diabetes initiating or discontinuing SSRIs (Katz et al., 1996). Because of the increased prevalence of depression in those with diabetes, it is critical to discover what affect the antidepressant therapy may have on counterregulatory responses to hypoglycemia. This study hypothesizes that chronic administration of SSRIs may result in a blunted counterregulatory response to hypoglycemia, thereby leaving individuals more susceptible to hypoglycemia.

NCT ID: NCT00592332 Completed - Type 1 Diabetes Clinical Trials

Hypoglycemia Associated Autonomic Failure in Type 1 DM, Q2

Start date: June 2005
Phase: N/A
Study type: Interventional

Alprazolam (Xanax) will blunt the body's ability to defend itself from low blood sugar.

NCT ID: NCT00592072 Completed - Clinical trials for Diabetes Mellitus, Type 1

Effect of Medium Chain Fatty Acids on Cognitive Function During Acute Hypoglycemia in Patients With Type 1 Diabetes

Start date: July 2005
Phase: N/A
Study type: Interventional

At present, there are no therapeutic agents that can minimize severe hypoglycemia (low blood sugar) and its effects on long-term brain function. The aim of this study is to determine whether the human brain is able to use medium chain fatty acids (MCFA) and/or their metabolites as an alternative fuel source during acute hypoglycemia in patients with Type 1 Diabetes Mellitus (T1DM). The hypothesis is that medium chain fatty acids will provide a rapidly absorbed, non-carbohydrate fuel that will improve cognitive performance during episodes of hypoglycemia (low blood sugar.)

NCT ID: NCT00589589 Completed - Burns Clinical Trials

Computer Decision Support to Achieve Glycemic Control in the ICU

EndoTool
Start date: January 2008
Phase: Phase 1
Study type: Interventional

This study is intended to fill the knowledge gap regarding the burn population with research that achieves scientific merit. we will determine the effectiveness of the computer decision support system (CDSS) to facilitate glucose management in the critically ill burn patient. The EndoToolâ„¢ computer decision support system will achieve glycemic control (defined as 80-110 mg/dL) in a shorter time, reduce glycemic excursion outside of target range, and reduce incidence of hypoglycemia (blood glucose less than 50 mg/dL) in the critically ill burn patient compared to the standard of care USAISR insulin titration protocol (Appendix A).

NCT ID: NCT00580710 Completed - Type 1 Diabetes Clinical Trials

Investigation Into the Effects Upon Brain Response to Change in Circulating Glucose Levels in Diabetes Mellitus

Start date: August 2001
Phase:
Study type: Observational

This study is designed to investigate the effects of diabetes mellitus and its treatment upon the body's responses to low blood glucose (blood sugar) levels. Diabetes is a medical condition in which blood glucose can rise very high. Treatment of diabetes mellitus involves giving insulin (a hormone), which can occasionally cause blood glucose to fall too low. The body responds to low glucose levels by producing a number of hormones, which act against the insulin to help correct the low blood glucose. These hormones also provide symptoms which warn that the glucose is falling too far. These protective warnings by the body may be different in people with diabetes. We want to test whether this also means that diabetes changes the sensitivity of brain function to a lowering of blood glucose levels. In order to answer this question, we need to compare the response of people with diabetes with the response of people who do not have diabetes. The plan of the study is to lower the subject's blood glucose using insulin, while measuring what changes occur in brain function using what is called functional magnetic resonance imaging (fMRI).

NCT ID: NCT00575783 Completed - Type 1 Diabetes Clinical Trials

Impact of Hypoglycemia Unawareness on Brain Metabolism Cognition in T1DM

Start date: August 2005
Phase:
Study type: Observational

The research study is designed to examine the impact of low blood sugar on brain function in individuals with Type 1 Diabetes who have frequent and severe hypoglycemia (low blood sugar) compared to those who do not.

NCT ID: NCT00574639 Completed - Type 1 Diabetes Clinical Trials

Mechanisms of Hypoglycemia Associated Autonomic Dysfunction Question 2

Alp Ex
Start date: July 2007
Phase: Early Phase 1
Study type: Interventional

The purpose of this study is to determine the way by which Alprazolam (Xanax) an anti-anxiety drug affects specialized molecules in your brain called GABA (A) receptors that alter your body's ability to defend itself from low blood sugar (hypoglycemia). We hypothesize that prior activation of GABA (A) receptors may result in blunting of counterregulatory responses during subsequent hypoglycemia and exercise.