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Predictive Low Glucose Management (PLGM) Trial : Comparing insulin pump therapy with predictive low glucose suspend feature versus standard sensor augmented pump therapy in patients with type 1 diabetes.

The prediction and prevention of hypoglycaemia using insulin suspension in a randomised controlled trial with the use of continuous subcutaneous insulin infusion with real-time continuous glucose monitoring system and predictive low glucose suspend feature (CSII + RT-CGMS + PLGM) versus sensor augmented pump therapy with continuous subcutaneous insulin infusion only (CSII+ RT-CGMS) in children and adolescents with type 1 diabetes (T1D)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12614000510640
Acronym
PLGM
Enrollment
169
Registered
2014-05-13
Start date
2014-08-11
Completion date
2016-04-29
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

This study will compare the new insulin pump with predictive low glucose suspend feature with current pump therapy with the aim to reduce the time spent hypoglycaemic.

Interventions

The intervention involves continuous subcutaneous insulin infusion with real-time continuous glucose monitoring system and predictive low glucose suspend feature (Medtronic Minimed 640G) for six months duration. Continuous glucose monitoring will involve insertion of a sensor just under the skin that sends continuous glucose readings back to the insulin pump. This pump has the added feature of Predictive Low Glucose Suspend function. If a low glucose level is predicted to be reached in 30 minute

The intervention involves continuous subcutaneous insulin infusion with real-time continuous glucose monitoring system and predictive low glucose suspend feature (Medtronic Minimed 640G) for six months duration. Continuous glucose monitoring will involve insertion of a sensor just under the skin that sends continuous glucose readings back to the insulin pump. This pump has the added feature of Predictive Low Glucose Suspend function. If a low glucose level is predicted to be reached in 30 minutes and the patient does not respond to the alarm, the pump will suspend insulin infusion for 2 hours. Both the pump and glucose sensor system will be worn for the entire 6 months.

Sponsors

Professor Timothy Jones
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
8 Years to 20 Years
Healthy volunteers
No

Inclusion criteria

1) Age: 8-20yrs at Princess Margaret Hospital, Perth and John Hunter Children's Hospital, Newcastle; Age 8-18yrs at Westmead Children's Hospital, Sydney, Women and Children's Hospital,Adelaide and RCH, Melbourne 2) T1DM for >1 year 3) On insulin pump therapy for >6 months 4) HbA1c < 10.0%

Exclusion criteria

1) Medical conditions predisposing to hypoglycaemia other than diabetes 2) Oral glycaemic medications 3) Inability or refusal to meet protocol requirements 4 ) Pregnancy

Outcome results

None listed

Source: ANZCTR · Data processed: Mar 2, 2026