A Comparison of Peri-Operative and Post Acute Coronary Syndrome Glycaemic Control in Insulin Requiring Patients with Type 2 Diabetes at St Vincent’s Hospital With and Without Real-Time Continuous Glucose Monitoring.

In patients with type 2 diabetes treated with insulin, who are post-operative or post acute coronary syndrome, does real-time continuous glucose monitoring vs intermittant finger pricks improve glucose control.

Status

Not yet recruiting

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12608000125325

Enrollment

Registered

2008-03-10

Start date

2008-06-01

Completion date

Unknown

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

In patients with type 2 diabetes, it is proven that good glucose control during stressful events like after surgery and after a heart attack helps improve the outcome. Therefore in patients with type 2 diabetes requiring insulin and undergoing stressful events, real-time continuous glucose monitoring which provides detailed information on the glucose trends may improve glucose control compared with intermittant glucose monitoring with finger pricks shich are "snap shots" of the ever fluctuating glucose level.

Interventions

Real-Time Continuous glucose monitoring with Guardian Real-Time where glucose levels are displayed on the monitor every 5 minutes. If the levels are falling at >2mmol/20minutes or similarly rising at that rate, the monitor will alarm and thus appropriate interventions can be carried. Before any intervention is taken, the levels displayed are confirmed with a finger prick test. Subjects will be fitted with this monitor after surgery or the coronary event and will wear it up to 3 days post-event.

Study design

Allocation

Randomised controlled trial

Intervention model

Parallel

Primary purpose

Diagnosis

Masking

Open (masking not used)

Eligibility

Sex/Gender

All

Age

18 Years to 80 Years

Healthy volunteers

Inclusion criteria

Type 2 diabetes requiring insulin, patients who are post operative or post acute coronary syndromes.

Exclusion criteria

Patients on corticosteraids, patients requiring renal dialysis and patients admitted to Intensive Care Unit.

Outcome results