Dexcom G6 Continuous Glucose Monitoring in Hemodialysis
DEXCOM-HD
Comparison of Dexcom G6 Continuous Glucose Monitoring System and Blood Glucose Levels in Adult Hemodialysis Patients With Diabetes
1 other identifier
interventional
30
1 country
1
Brief Summary
This is a pilot study enrolling adult hemodialysis patients with diabetes recruited from the University of California Irvine Medical Center (UCIMC) who will undergo simultaneous measurement of glucose levels using 1) continuous glucose monitor (CGM) measured by a Dexcom G6 device vs. 2) "gold-standard" blood glucose levels using capillary fingerstick or venous blood glucose measurements obtained on a point of care (POC) blood glucose meter. The study will assess Dexcom G6 accuracy by comparing glucose levels on the CGM device vs. blood glucose measurements in the study population.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable diabetes
Started Mar 2020
Longer than P75 for not_applicable diabetes
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 2, 2020
CompletedFirst Posted
Study publicly available on registry
January 3, 2020
CompletedStudy Start
First participant enrolled
March 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 21, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 21, 2023
CompletedJune 12, 2023
June 1, 2023
3.8 years
January 2, 2020
June 9, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Blood glucose measurement
Proportion of CGM values within 20% of blood glucose levels \>100 mg/dl or within 20 mg/dl of blood glucose level for levels \<=100 mg/dl. (Will examine different thresholds of CGM values within a certain range of blood glucose levels, i.e., 10%, 15%, 25%.)
3 to 5 days
Secondary Outcomes (1)
Hypoglycemia events
3 to 5 days
Study Arms (1)
Dexcom G6 Continuous Glucose Monitor
EXPERIMENTALInterventions
Eligible patients will undergo DDexcom G6 Continuous Glucose Monitor device placement
Eligibility Criteria
You may qualify if:
- Adult hemodialysis patients age 18 years or older
- Have a comorbidity of diabetes
- Receipt of care from the inpatient University of California Irvine Medical Center nephrology consult service
- Expected hospital stay ≥48 hours
- Have the ability to directly provide informed consent for participation in the study
You may not qualify if:
- Critically-ill patients receiving care in the intensive care unit (ICU) or cardiac care unit (CCU)
- Moribund patients expected to die within 48 hours
- Presence of any condition deemed by PI's judgment that would seriously limit life expectancy (i.e., poor survival)
- Pregnant
- Unwilling or unable to provide informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of California, Irvinelead
- DexCom, Inc.collaborator
Study Sites (1)
University of California Irvine
Orange, California, 92868, United States
Related Publications (4)
Rhee CM, Kovesdy CP, Ravel VA, Streja E, Brunelli SM, Soohoo M, Sumida K, Molnar MZ, Brent GA, Nguyen DV, Kalantar-Zadeh K. Association of Glycemic Status During Progression of Chronic Kidney Disease With Early Dialysis Mortality in Patients With Diabetes. Diabetes Care. 2017 Aug;40(8):1050-1057. doi: 10.2337/dc17-0110. Epub 2017 Jun 7.
PMID: 28592525BACKGROUNDRhee CM, Kovesdy CP, Ravel VA, Streja E, Sim JJ, You AS, Gatwood J, Amin AN, Molnar MZ, Nguyen DV, Kalantar-Zadeh K. Glycemic Status and Mortality in Chronic Kidney Disease According to Transition Versus Nontransition to Dialysis. J Ren Nutr. 2019 Mar;29(2):82-90. doi: 10.1053/j.jrn.2018.07.003. Epub 2018 Nov 15.
PMID: 30448393BACKGROUNDRhee CM, Kovesdy CP, You AS, Sim JJ, Soohoo M, Streja E, Molnar MZ, Amin AN, Abbott K, Nguyen DV, Kalantar-Zadeh K. Hypoglycemia-Related Hospitalizations and Mortality Among Patients With Diabetes Transitioning to Dialysis. Am J Kidney Dis. 2018 Nov;72(5):701-710. doi: 10.1053/j.ajkd.2018.04.022. Epub 2018 Jul 20.
PMID: 30037725BACKGROUNDRhee CM, Leung AM, Kovesdy CP, Lynch KE, Brent GA, Kalantar-Zadeh K. Updates on the management of diabetes in dialysis patients. Semin Dial. 2014 Mar;27(2):135-45. doi: 10.1111/sdi.12198.
PMID: 24588802BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Connie Rhee, MD, MSc
Faculty
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor of Medicine
Study Record Dates
First Submitted
January 2, 2020
First Posted
January 3, 2020
Study Start
March 1, 2020
Primary Completion
December 21, 2023
Study Completion
December 21, 2023
Last Updated
June 12, 2023
Record last verified: 2023-06