NCT02887898

Brief Summary

The investigators hypothesize that non-optimal basal-bolus insulin treated patients with type 2 diabetes can achieve better metabolic control by counting carbohydrates with concurrent use of an automated bolus calculator. Additionally, the investigators propose that this intervention will lead to improvement in patient related outcomes.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
80

participants targeted

Target at P50-P75 for not_applicable type-2-diabetes

Timeline
Completed

Started Sep 2016

Typical duration for not_applicable type-2-diabetes

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 15, 2016

Completed
17 days until next milestone

Study Start

First participant enrolled

September 1, 2016

Completed
1 day until next milestone

First Posted

Study publicly available on registry

September 2, 2016

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2018

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2018

Completed
Last Updated

January 22, 2020

Status Verified

January 1, 2020

Enrollment Period

1.7 years

First QC Date

August 15, 2016

Last Update Submit

January 21, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in HbA1c

    6 months

Secondary Outcomes (5)

  • Time spent below, in or above the glucose target 4-10 mmol/l measured by continuous glucose monitoring (CGM)

    6 months

  • Frequency of blood glucose measurements assessed by meter download before randomization and at each visit

    6 months

  • Frequency of hypoglycemia (below 2.8 mmol/L or unconsciousness/ need of medical assistance)

    6 months

  • Change in diet habits/diet composition

    6 months

  • Change in treatment satisfaction

    6 months

Other Outcomes (1)

  • Adherences to bolus calculator use

    6 months

Study Arms (2)

Carb counting and bolus calculator

ACTIVE COMPARATOR

Education in carb counting and the use of an automated bolus calculator

Device: Automated bolus calculatorOther: Education

Carb counting

PLACEBO COMPARATOR

Education in carb counting and manual calculation of insulin bolus

Other: Education

Interventions

Carb counting and bolus calculator
Carb countingCarb counting and bolus calculator

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Type 2 diabetes \> 1 year
  • Age 18 years or older
  • HbA1C \> 64 mmol/mol (8.0 %)
  • Treatment with multiple daily insulin injections (basal and prandial insulin) ≥ 6 months
  • GAD-antibody negative
  • Naïve to bolus calculators

You may not qualify if:

  • Pregnancy or breast feeding
  • Gastroparesis
  • Severe nephropathy (eGFR\<30 mL/min/1,73 m2)
  • Use of sulfonylurea

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hvidovre University Hospital

Hvidovre, 2650, Denmark

Location

Related Publications (1)

  • Christensen MB, Serifovski N, Herz AMH, Schmidt S, Hommel E, Raimond L, Perrild H, Gotfredsen A, Gaede P, Norgaard K. Efficacy of Bolus Calculation and Advanced Carbohydrate Counting in Type 2 Diabetes: A Randomized Clinical Trial. Diabetes Technol Ther. 2021 Feb;23(2):95-103. doi: 10.1089/dia.2020.0276. Epub 2020 Sep 21.

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Interventions

Educational Status

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Socioeconomic FactorsPopulation Characteristics

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD

Study Record Dates

First Submitted

August 15, 2016

First Posted

September 2, 2016

Study Start

September 1, 2016

Primary Completion

June 1, 2018

Study Completion

November 1, 2018

Last Updated

January 22, 2020

Record last verified: 2020-01

Locations