Glycemic Variations During the Menstrual Cycle in Women With Type 1 Diabetes

You may not qualify if:

• Using a hormonal contraception method that eliminates menses (Depo Provera, progestin intrauterine device, extented-cycle regimen with birth control pill)
• Using regular insulin (Entuzity U500, Novolin ge Toronto or Humulin R).
• Clinically significant nephropathy (eGFR \< 30 ml/min/1.73m2, planned or on dialysis) or neuropathy (e.g., known uncontrolled gastroparesis) as judged by the investigator.
• Recent (\< 6 months) acute macrovascular event (e.g., acute coronary syndrome or cardiac surgery).
• Anticipated therapeutic change (including change of insulin type and/or type of CGM sensor, insulin pump or AID (automated insulin device) system) between admission and end of the study.
• Anticipated change in contraception method or plan to begin or stop a contraceptive method.
• Anticipated need to use acetaminophen during the study period at a dose above 1g every 6 hours.
• Pregnancy (ongoing or current attempt to become pregnant)
• Breastfeeding
• Uncontrolled thyroid disease (TSH should be in target range and treatment stable for at least 6 weeks).
• Severe hypoglycemic episode within two weeks of screening
• Severe hyperglycemic episodes requiring hospitalization in the last 3 months.
• Current use of glucocorticoid medication (except low stable dose and inhaled steroids and stable adrenal insufficiency treatment e.g., Cortef®)
• Agents affecting gastric emptying (Motilium®, Victoza®, Ozempic®, Trulicity®, Byetta® and Symlin®) as well as oral anti-diabetic agents (Metformin, Prandase®, DPP-4 inhibitors) unless at a stable dose for 3 months and without anticipated change during the study.
• Current use of SGLT-2 inhibitors unless at a stable dose for at least 3 months, without anticipated change during the study and appropriate ketone testing is performed.
• +5 more criteria