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Hypoglycemia clinical trials

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NCT ID: NCT06468865 Recruiting - Clinical trials for Postprandial Hypoglycaemia After Bariatric Surgery

Glucose Monitoring in Treatment of Postprandial Hypoglycemia After Bariatric Surgery

HypoBar
Start date: June 17, 2024
Phase: N/A
Study type: Interventional

The goal of this clinical trial is to learn if continuous glucose monitoring works to treat postprandial hypoglycaemia in patients who have undergone bariatric surgery. The main question it aims to answer is: • Is continuous glucose monitoring superior to usual care for prevention of postprandial hypoglycaemia in patients with verified postprandial hypoglycaemia after bariatric surgery? Researchers will compare continuous glucose monitoring to usual care to see if continuous glucose monitoring works to treat postprandial hypoglycaemia. Participants will: - Use a continuous glucose monitor for 5 weeks or use no continuous glucose monitor for 5 weeks. During week 6 both groups will wear a continuous glucose monitor, but the patients who have not been wearing a continuous glucose monitor will wear a blinded continuous glucose monitor. - Visit the clinic 3 times. - Register symptoms of hypoglycaemia, answer questionnaires, keep a food diary, measure weight and body composition and take blood samples.

NCT ID: NCT06414824 Recruiting - Clinical trials for Diabetes Mellitus, Type 1

The isCGM Use and Hypoglycemic Episodes and Fear of Hypoglycemia in Newly Diagnosed Type 1 Diabetes

PENELOPE
Start date: May 1, 2022
Phase: N/A
Study type: Interventional

The aim of this trial is to investigate the impact of FreeStyle Libre use compared to SMBG on hypoglycemia episodes and fear of hypoglycemia in adults aged 18-35 with newly diagnosed type 1 diabetes. This trial is conducted in university centers in Poland (Bialystok, Krakow, Poznan, Zabrze).

NCT ID: NCT06404528 Recruiting - Solid Tumors, Adult Clinical Trials

Low-dose Chemotherapy Under Hypoglycaemia for the Treatment of Relapsed Refractory Advanced Solid Tumours

Start date: September 4, 2023
Phase: N/A
Study type: Interventional

By controlling the patient's blood sugar, small doses of chemotherapy are used in a hypoglycemic state. Some necrotic tumor cells produced by chemotherapy can maintain their immunogenicity, further activate innate immunity, and produce very strong anticancer effects without the cytotoxic effects of chemotherapy.

NCT ID: NCT06382350 Recruiting - Clinical trials for Type 1 Diabetes Mellitus

Glycemic Excursions in Patients With Type 1 Diabetes Mellitus Using Closed-loop Systems

SAFEDRIVE
Start date: May 29, 2024
Phase:
Study type: Observational

The study aims to compare glycemic excursions during several life situations (such as periods of driving, periods of night sleep, periods of occupation, periods of physical activity, and periods of stress) in patients with type 1 diabetes treated with closed-loop system and multiple daily insulin dose therapy

NCT ID: NCT06373432 Recruiting - Clinical trials for Neonatal Hypoglycemia

Frequency of Glucose Monitoring in Labor

Start date: May 1, 2024
Phase: N/A
Study type: Interventional

The aim of this study is to assess rates of neonatal hypoglycemia with differing intrapartum glucose protocols. Currently at this time there is no guidance from professional medical organizations about when and how frequent to assess maternal glucose levels intrapartum. Several institutions have no protocols in place. The study will be a randomized controlled trial placing patients with Gestational Diabetes Mellitus (GDM) in "frequent" vs "infrequent" glucose monitoring intrapartum and assessing neonatal glucose levels at birth.

NCT ID: NCT06363929 Recruiting - Hyperinsulinism Clinical Trials

Continuous Glucose Monitoring in Neonatal Hyperinsulinism

Start date: June 1, 2023
Phase:
Study type: Observational

The investigators are studying the accuracy of Dexcom G6 continuous glucose monitors placed on babies with hyperinsulinism in the Miller Children's Hospital Neonatal Intensive Care Unit. The participants will wear the device for 10 days on their lateral thigh. Whenever blood sugars are checked by glucometer, the investigators will also record the continuous glucose monitor sugar. Additionally, if the continuous glucose monitor alarms for a low sugar or an impending low sugar, the investigators will check the blood sugar by glucometer and, if verified to be low, treat the low blood sugar accordingly.

NCT ID: NCT06353217 Recruiting - Diabetes Mellitus Clinical Trials

Study of a Primary Care Hypoglycemia Prevention Program

Start date: May 22, 2024
Phase: N/A
Study type: Interventional

This is a single site, pre-post pilot study. The objective is to evaluate the acceptability and feasibility of a primary care hypoglycemia prevention program for patients taking hypoglycemia-causing medications. The study will also evaluate relevant process outcomes and clinical outcomes for refining the intervention and planning for a larger efficacy trial.

NCT ID: NCT06297980 Recruiting - Type 1 Diabetes Clinical Trials

Impact of MEnstruation on Glycemic Response and Exercise In Females With Type 1 Diabetes

MERIT
Start date: March 15, 2024
Phase: N/A
Study type: Interventional

The objectives of this study are to examine how sex hormones (use of hormonal birth control, menstrual cycle phase) impact glycemic control among women with type 1 diabetes (T1D), and to test adjustments to insulin dosing and food intake to ameliorate cycle-related glycemic variability. A secondary aim is to examine how the menstrual cycle and use of hormonal birth control impact patient-reported outcomes and glycemic responses to physical activity.

NCT ID: NCT06296485 Recruiting - Clinical trials for Diabetes Mellitus, Type 2

Safer Aging With Diabetes Monitoring

SAGE
Start date: May 1, 2024
Phase: N/A
Study type: Interventional

Older adults with type 2 diabetes are at higher risk for severe hypoglycemia and its related complications (including hospitalization and death) when taking insulin. This study proposes to evaluate, in a randomized clinical trial, a strategy of safe insulin prescribing based on an educational program that leverages continuous glucose monitoring to support older adults at high risk for hypoglycemia. If the aims of this project are achieved, this novel care strategy could be widely applied to reduce severe hypoglycemia episodes in older, high-risk adults with type 2 diabetes.

NCT ID: NCT06272695 Recruiting - Clinical trials for Type 1 Diabetes Mellitus

Glucagon Rescue of Insulin-Induced Hypoglycemia in Adults With Type 1 Diabetes Treated With Volagidemab

Start date: February 15, 2024
Phase: Phase 1
Study type: Interventional

This trial is designed to evaluate the effect of glucagon receptor antagonism by volagidemab (once weekly) on glucose recovery from hypoglycemia after treatment with glucagon in adults with type 1 diabetes. After informed consent, Screening procedures to establish subject eligibility will be performed within a period of 28 days. Approximately 24 subjects with type 1 diabetes mellitus (T1DM) on stable doses of insulin will be enrolled. After enrollment, subjects will undergo a baseline Hypoglycemia Recovery Procedure (with glucagon rescue). Subjects will then receive volagidemab subcutaneously (SC) once weekly for 6 weeks. At the end of the treatment phase, subjects will undergo a second Hypoglycemia Recovery Procedure. Subjects will be followed for 6 weeks after the last volagidemab dose with a final End-of-Study (EOS) visit during Week 12. The primary outcome will be the change in time to glucagon treatment success at Week 6 versus baseline.