Diabetes Mellitus, Insulin-Dependent Clinical Trial
Official title:
DirecNet Inpatient Study to Test the Accuracy of Continuous Blood Glucose Monitoring Devices in Children With Type 1 Diabetes
Good control of blood glucose levels is important in preventing complications from diabetes. This study assessed the accuracy and reliability of two FDA-approved continuous glucose monitors, the Continuous Glucose Monitoring System (CGMS) and the GlucoWatch G2 Biographer (GW2B), in children with type 1 diabetes mellitus (T1DM).
Intensive control of blood glucose levels has been shown to substantially prevent or delay
complications of T1DM in adolescents and adults. The major limitation to implementation of
intensive glycemic control is hypoglycemia. Younger children may be at increased risk for
hypoglycemia and the risk/benefit ratio of intensive glycemic control may be less favorable
in this population. Intensive therapy has not been systematically evaluated in children less
than 13 years of age. This study was conducted by the Diabetes Research in Children Network
(DirecNet) to assess the accuracy of the CGMS and the GW2B glucose monitors in comparison
with standard blood glucose measurements in an inpatient setting.
During 24-hour clinical research center stays at five clinical centers, approximately 90
children and adolescents with T1DM (1 to 17 years of age) wore two FDA-approved continuous
glucose monitors, CGMS and GW2B, and had frequent serum glucose determinations during the
day and night. To assess glucose monitor function during periods of rising and falling blood
glucose, insulin-induced hypoglycemia and meal-induced hyperglycemia tests were also
performed.
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Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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