E10
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: T1DM diagnosis at least one year prior to the first day of fasting Availability of a system for continuous glucose monitoring or Free Style libre Age between 18 and 75 years Duration of diabetes: > 1 year Creatinine < 1,00 mg/dl HbA1c: 5,6 - 8,0 mg/dl Presence of signed declaration of consent for data acquisition, to fill in questionnaires and to take part in the fasting intervention of 9 days Legal capacity
Exclusion criteria
Exclusion criteria: Acute psychiatric condition with need for treatment Severe internal condition Acute febrile illness Renal insufficiency and other kidney diseases that need treatment or dialysis pregnancy lactation Any addiction Tumor disease BMI < 21 (threat for anorexia) Diabetes insipidus application for occupational disability in process Participation in another clinical or observation study within the last 4 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ketoacidosis, hypoglycaemia, overall wellbeing (WHO 5), diabetes related problem areas (PAID) | — |
Secondary
| Measure | Time frame |
|---|---|
| Physiological secondary outcome parameters: Cessation oft he fast HbA1c-values (measured pre, post and after 4 months’ time) Necessary amounts of carbohydrate and insulin units to prevent ketoacidosis Development of urin pH-values as NAE-values over the course of the fast (measured at time points T0, T3, T5, T9) Development of BGA-values over the course of the fast (measured 1x/day) LDL/HDL (Low Density Lipoprotein/High-density lipoprotein) (measured pre, post and after 4 months’ time) Body weight (measured pre, post and after 4 months’ time) Blood pressure (measured pre, post and after 4 months’ time) Heart rate (measured pre, post and after 4 months’ time) Data from DMP (measured pre, post and after 4 months’ time) Psychometric secondary outcome parameters: 1. Anxiety (HADS) 2. Relevance of Disease questionnaire (IIQ) 3. Physical wellbeing questionnaire (FEW 16) ) Kolip & Schmidt (1999) 4. Situational Mindfulness (CPSC – German) Moderators / predictors: Tolerability according to retrieval of adverse events Documented episodes of slight hypoglycaemia < 70 mg/dl and 3,9 mmol respectively and /or typical signs Number of crisis interventions: serum glucose above 250 mg/ dl and ketone values greater than 6.0 | — |
Countries
Germany
Contacts
Forschungs- und Lehrzentrum Herdecke (FLZ) am Lehrstuhl für Medizintheorie, Integrative und Anthroposophische Medizin der Universität Witten/Herdecke