Preliminary Exploration on the Operational Standards of Insulin Pump Installation in Diabetes Clinic in China
1 other identifier
interventional
180
1 country
1
Brief Summary
Continuous subcutaneous insulin infusion (CSII), known as insulin pump therapy, has been widely used for diabetes patients in recent years. Many clinical studies have proved the priority of CSII to multiple insulin injections including better glycaemic control with lower daily insulin requirement, lower glycated haemoglobin (HbA1c) level and reduced risk of severe hypoglycaemia. The best mode of CSII is a kind of programmed and individualized insulin infusion mode. But at present, the applying of insulin pump is mainly during hospitalization period in China, which is not conformed with daily living scenarios of patients. The outpatient insulin pump treatment is much closer to the real living scenarios of patients. However, lack of management experience and widely accepted formative model of insulin pump applying in clinic restricted use of insulin pumps in clinical in China. The investigators aimed to explore a safe and effective management mode of insulin pump operating to enable a wide population to have access to daily use of CSII, and to maximize the rational use of limited medical resources.
Trial Health
Trial Health Score
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participants targeted
Target at P75+ for not_applicable
Started Dec 2019
1 active site
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 20, 2019
CompletedFirst Posted
Study publicly available on registry
October 16, 2019
CompletedStudy Start
First participant enrolled
December 1, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2020
CompletedOctober 16, 2019
October 1, 2019
1 year
September 20, 2019
October 14, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
The basal insulin dose of insulin pump at the end of the study
Day-7 or day-14 or day-28 for different groups
The preprandial insulin dose of insulin pump at the end of the study
Day-7 or day-14 or day-28 for different groups
The basal insulin dose of insulin pump at the end of the 6-day follow-up
Day-14 or day-28 or day-35 for different groups
The preprandial insulin dose of insulin pump at the end of the 6-day follow-up
Day-14 or day-28 or day-35 for different groups
Secondary Outcomes (9)
The frequency of hypoglycemia
Day-7 or day-14 or day-28 for different groups
The time in range of goal blood glucose during follow-up
Day-14 or day-28 or day-35 for different groups
The frequency of pain at puncture site
Day-7 or day-14 or day-28 for different groups
The frequency of errors in patency of infusion pipeline connection
Day-7 or day-14 or day-28 for different groups
The blood glucose value of hypoglycemia
Day-7 or day-14 or day-28 for different groups
- +4 more secondary outcomes
Study Arms (18)
Type 1 diabetes mellitus_7-day group
EXPERIMENTALType 1 diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Type 1 diabetes mellitus_14-day group
EXPERIMENTALType 1 diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Type 1 diabetes mellitus_28-day group
EXPERIMENTALType 1 diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Type 2 diabetes mellitus_7-day group
EXPERIMENTALType 2 diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Type 2 diabetes mellitus_14-day group
EXPERIMENTALType 2 diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Type 2 diabetes mellitus_28-day group
EXPERIMENTALType 2 diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Gestational diabetes mellitus_7-day group
EXPERIMENTALGestational diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Gestational diabetes mellitus_14-day group
EXPERIMENTALGestational diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Gestational diabetes mellitus_28-day group
EXPERIMENTALGestational diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Pregestational diabetes mellitus_7-day group
EXPERIMENTALPregestational diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Pregestational diabetes mellitus_14-day group
EXPERIMENTALPregestational diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Pregestational diabetes mellitus_28-day group
EXPERIMENTALPregestational diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Pancreatogenic diabetes mellitus _7-day group
EXPERIMENTALPancreatogenic diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Pancreatogenic diabetes mellitus _14-day group
EXPERIMENTALPancreatogenic diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Pancreatogenic diabetes mellitus _28-day group
EXPERIMENTALPancreatogenic diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Diabetes patients in perioperative period _7-day group
EXPERIMENTALDiabetes patients in perioperative period aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Diabetes patients in perioperative period _14-day group
EXPERIMENTALDiabetes patients in perioperative period aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Diabetes patients in perioperative period _28-day group
EXPERIMENTALDiabetes patients in perioperative period aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Interventions
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
Eligibility Criteria
You may qualify if:
- Patients in clinic of type 1 diabetes mellitus, type 2 diabetes mellitus, gestational/pregestational diabetes mellitus, perioperative diabetes mellitus and patients with diabetes mellitus after pancreatectomy, including those with poor blood glucose control using multiple subcutaneous insulin injections or those are willing to use insulin pump therapy;
- Age: 18-80 years old;
- Patients and family members understand the research program and are willing to participate in the study and sign written informed consent.
You may not qualify if:
- allergic to dressings and subcutaneous transfusion tubes;
- allergic to insulin;
- Severe diabetic acute complications within 6 months(diabetic ketoacidosis, diabetic hyperglycemia and hyperosmolar state, diabetic lactic acidosis).
- Severe chronic complications of diabetes mellitus, such as peripheral vascular lesions leading to amputation or chronic foot ulcer, end-stage renal disease, etc. who researchers thought not suitable for this study.
- Two or more times of severe hypoglycemia occured in the past year (such as consciousness disturbance and coma caused by hypoglycemia), or severe unconscious hypoglycemia.
- Patients with severe impairment of cardiac function (NYHA grade III or above), liver function (alanine aminotransferase, aspartate aminotransferase or total bilirubin higher than the upper limit of normal value 2 times or more), renal function (serum creatinine higher than the upper limit of normal value) or circulation disorder;
- Patients with mental illness and self-care ability;
- Patients or their families could not understand the conditions and objectives of this study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100730, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 20, 2019
First Posted
October 16, 2019
Study Start
December 1, 2019
Primary Completion
December 1, 2020
Study Completion
December 1, 2020
Last Updated
October 16, 2019
Record last verified: 2019-10
Data Sharing
- IPD Sharing
- Will not share