Hyperglycemia in VLBW Infants
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Included are all preterm infants with a postmenstrual age (gestational age, GA) of <29+0 weeks and with documented hyperglycemia of greater than or equal to 180 mg/dL within a center-specific time period of Osnabrück: 01/01/2007 to 01/01/2026. Hamburg: 01/01/2020 to 01/01/2026 Bielefeld: 01/01/2023 to 01/01/2026 The period refers to the year of first use of glibenclamide in the respective center.
Exclusion criteria
Exclusion criteria: Preterm infants without hyperglycemia are excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective of the study is to evaluate the effectiveness of oral glibenclamide in reducing hyperglycemia in extremely preterm infants. The primary outcome parameter is whether the blood glucose concentration 24 hours after oral administration of glibenclamide (mg/dL) falls within the predefined target range of 80–180 mg/dL. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study objectives include evaluating the occurrence of hypoglycemia, as well as the practical feasibility and dose titration of therapy. Accordingly, secondary outcome parameters include the time to onset of euglycemia after administration of glibenclamide (h), glucose concentrations during treatment with glibenclamide (mg/dL), duration of therapy (days), number of individual oral glibenclamide doses (n), and both weight-adjusted and absolute single and cumulative doses of glibenclamide (mg/kg body weight and mg). In addition, the frequency of hypoglycemic events (n) and the glucose concentrations during hypoglycemic episodes (mg/dL) are recorded. | — |
Countries
Germany
Contacts
Universität Bielefeld