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Hypoglycemia clinical trials

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NCT ID: NCT02875925 Completed - Pain Clinical Trials

Outcomes Study of MTM in a Medicare ACO

Start date: December 2015
Phase: N/A
Study type: Interventional

This is a non-randomized, prospective, quasi-experimental study designed to assess the impact of pharmacist-provided medication management on total cost of care and clinical outcomes (ie, hospitalizations, emergency department visits) in a real-world clinical practice.

NCT ID: NCT02871180 Completed - Type 1 Diabetes Clinical Trials

Late Night Snack and Insulin Glargine

Start date: March 2003
Phase: N/A
Study type: Interventional

Twenty patient with Type 1 diabetes, using insulin glargine as basal insulin, participated in a prospective, controlled crossover trial comparing blood glucose profiles over two 24 h periods with and without a late night snack (a slice of rye bread, 20 g carbohydrates, at 10 p.m.), in randomized order. The main endpoint was the number of hypoglycemic episodes with a confirmed laboratory blood glucose ≤ 50 mg/dl between 10 p.m. and 8 p.m. the following day. Secondary endpoint was the blood glucose profile during this period.

NCT ID: NCT02866435 Completed - Hypoglycemia Clinical Trials

Identifying the Brain Substrates of Hypoglycemia Unawareness in Type 1 Diabetes

Start date: November 2016
Phase: Early Phase 1
Study type: Interventional

The purpose of this study is to investigate how the brain responds to low blood glucose in non-diabetic individuals. The ultimate goal is to understand the brain substrates of hypoglycemia unawareness, a condition that can occur in patients with type1 diabetes undergoing insulin treatment.In the present study, the investigators focus on differences between two groups of non-diabetic subjects: one group who experienced two episodes of hypoglycemia the day prior to the study (and supposedly developed some level of unawareness to hypoglycemia), and one group who did not. In this study, a 3 tesla MRI scanner is used to acquire brain images. The imaging system is identical to the ones used in hospitals.

NCT ID: NCT02838875 Not yet recruiting - Clinical trials for Neonatal Hypoglycemia

To Examine if the Mother's Glucose Levels and Glucose Levels in the Blood Can Predict Cord Hypoglycemia in Newborns at Risk.

Start date: August 2016
Phase: Phase 3
Study type: Interventional

Background Neonatal hypoglycemia is one of the most common metabolic disorders in neonatology. Maintaining stable levels of glucose in the transition from fetal life to life after birth is very important. Yet, except for the recognizing of at-risk populations, there are not many individual measures which can help and predict which newborns (from at-risk populations) will develop hypoglycemia and which will not. OBJECTIVE our objective is to try to characterize by the mother's glucose levels at birth and by umbilical cord glucose levels who would be at increased risk of hypoglycemia in the hours after birth in the population that is at increased risk of this complication in advance.

NCT ID: NCT02836353 Terminated - Gastrectomy Clinical Trials

Metabolic Consequences of Gastrointestinal Surgery

MaS
Start date: January 2017
Phase: N/A
Study type: Interventional

Surgery on the gastrointestinal (GI) tract results in profound changes to the metabolic profile. This is well described, including the rapid resolution of diabetes seen after bariatric surgery. The underlying pathophysiology, and incidence in lean patients undergoing surgery for cancer, is somewhat less described. The investigators plan to assess the symptomatic and glycaemic profile, as well as causative pathways, for metabolic symptoms in patients after surgery on the GI tract. The investigators will use glucose tolerance tests, physiological challenges with somatostatin analogues and antibiotics, and assess tissue transcriptomic changes.

NCT ID: NCT02835131 No longer available - Clinical trials for Congenital Hyperinsulinism

Compassionate Use of SOM230 for Hyperinsulinemic/Hypoglycemia

Start date: n/a
Phase:
Study type: Expanded Access

Congenital hyperinsulinism is a rare condition that can cause life-threatening hypoglycemia. Current treatment for congenital hyperinsulinism is often suboptimal, and such individuals may respond to a new somatostatin analog, pasireotide. This is a compassionate use study of the effects of pasireotide on individuals with suboptimally treated congenital hyperinsulinism.

NCT ID: NCT02829593 Completed - Healthy Clinical Trials

Measurement of Glucose Metabolism in Humans: Effect of Recurrent Hypoglycemia on Hypothalamic GABA

GABA
Start date: October 31, 2019
Phase: N/A
Study type: Interventional

You are invited to participate in a study designed to investigate the effects of diabetes mellitus, high and low glucose, and high blood insulin on the brain. You were selected as a possible participant because you fit into one of the following categories. a) you are either healthy and competent, are not pregnant and you have no known medical disease and therefore your glucose metabolism will be typical of a normal person, or b) you have diabetes.

NCT ID: NCT02823665 Recruiting - Gastric Bypass Clinical Trials

The Effects of Bariatric Surgeries on Glucose Metabolism

Start date: July 2015
Phase: Early Phase 1
Study type: Interventional

The purpose of this study is learn the effect of gastric bypass surgery and sleeve gastrectomy on glucose metabolism mediated by neural and hormonal factors initiated after eating.

NCT ID: NCT02778269 Completed - Diabetes Clinical Trials

Predicting Hypoglycaemia and Arrhythmias in the Patient With Diabetes and CKD - Validation Study

HypoArrhythmia
Start date: June 2016
Phase: N/A
Study type: Interventional

Patients with insulin-dependent diabetes mellitus (DM) and chronic kidney disease (CKD) exhibit an excessive risk for cardiac arrhythmias, in particular sudden cardiac death (SCD). Various studies have shown that hypoglycemic episodes are strong predictors of cardiovascular mortality in both type 1 and type 2 diabetic patients. Experimental data and small clinical studies link hypoglycemia with ECG changes and SCD, but little is known about the direct association of hypoglycemic events and/or rapid swings in blood glucose with arrhythmias in this high risk population. Ideally, an algorithm should help to identify patients at risk for hypoglycemia-associated arrhythmias and SCD, but hitherto systematic analyses of blood glucose values and 12-channel ECGs are lacking in these patients. In this validation study a 12-lead ECG T-shirt consisting of textile electrodes and a data logging device wich can record long-term 12-lead ECG data will be tested. The purpose of the T-shirt is to improve the patient's comfort for long-term recordings and to prevent adverse effects of regular ECG electrodes. Current systems are limited by the use of ECG electrodes involving disadvantages like severe direct side effects on the skin such as rash and bullous lesions as well as slipping electrodes. By the means of the proposed ECG T-shirt those drawbacks will be avoided.

NCT ID: NCT02772718 Completed - Hypoglycemia Clinical Trials

An Open-Label Study of XOMA 358 in Patients With Hypoglycemia After Gastric Bypass Surgery

XOMA 358
Start date: April 2016
Phase: Phase 2
Study type: Interventional

The purpose of this study is to evaluate the safety and clinical pharmacology of XOMA 358 in patients with hypoglycemia after gastric bypass surgery.