Health Condition 1: E109- Type 1 diabetes mellitus without complications
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Children with type 1 diabetes for more than one year On MDI regimen (basal-bolus) for more than 6 months HbA1c between 7.0% -10.0% Willing to use CGM/SMBG and attend follow-up for the next 3 months
Exclusion criteria
Exclusion criteria: DKA in the last 3 months Cognitive/psychiatric disorders impairing adherence Any comorbid conditions significantly affecting glycemic control Children with anemia, hemoglobinopathies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the change in glycemic variability, as measured by the coefficient of variation (%CV) of glucose levels, at the end of 3 months between children with Type 1 Diabetes using intermittent scanned continuous glucose monitoring (isCGM) for 15 days followed by SMBG, versus those using SMBG alone.Timepoint: Three months | — |
Secondary
| Measure | Time frame |
|---|---|
| To estimate and compare additional glycemic variability metrics between the intermittent scanned CGM plus SMBG group and the SMBG-only group at 3 months using structured SMBG data. The metrics to be assessed include estimated blood glucose in range (IR), defined as the percentage of readings between 70 180 mg/dL; below range (BR), defined as the percentage of readings less than 70 mg/dL; and above range (AR), defined as the percentage of readings greater than 180 mg/dL and greater than 250 mg/dL. Additionally, the study will compare the proportion of children achieving a coefficient of variation (CV) of less than 36% at the end of 3 months between the two groups.Timepoint: Three months;To compare the change in HbA1c levels from baseline to 3 months between children with Type 1 diabetes randomized to limited (15-day) use of intermittent scanned CGM followed by SMBG versus those with SMBG alone.Timepoint: Three months;To evaluate the correlation of glycemic variability with HbA1c in both groups during the study period.Timepoint: Three months;To assess the number and nature of treatment modifications (such as changes in insulin dosing, dietary planning, ability to recognize and manage hypoglycemic and hyperglycemic events, and physical activity) prompted by the intermittent scanned CGM group compared to routine SMBG-based decision-making.Timepoint: Three months;To assess any adverse effects of the use of CGM and its acceptability among children with Type 1 diabetes.Timepoint: Three months | — |
Countries
India
Contacts
Kalawati Saran Childrens Hospital