Type 1 Diabetes Mellitus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion Criteria i. Newly diagnosed Type 1 diabetes mellitus ii. Age at diagnosis =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: i. Neurological disability / handicap e.g. Cerebral palsy ii. Gastrointestinal disease iii. Chronic illness other than T1DM that may affect conduct of study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: AIMS OF THE STUDY. The principal aims of this study are to establish whether treatment with continuous subcutaneous insulin infusion (CSII) therapy has advantages over conventional bolus subcutaneous insulin injection treatment regimens in terms of 1. achieving better glycaemic control 2. reducing hypoglycaemia risk 3. preserving endogenous insulin secretion 4. providing a better quality of life for parents and families. PRIMARY OBJECTIVES. The objectives will be to determine whether compared to conventional treatment CSII therapy results in : 1. Improved glycaemic control - as determined by HbA1c index values 2. Reduced frequency of hypoglycaemia - both daytime and nocturnal 3. Better psychological outcome and adjustment to diagnosis and treatment - as determined in the parents and siblings of patients ; Secondary Objective: SECONDARY OBJECTIVES. 1. To determine whether CSII therapy results in longer preservation of endogenous insulin secretion compared to conventional insulin treatment - as evidenced by fasting plasma C-peptide production and lower daily insulin requirements (units/kg/day) assessed at 6 monthly intervals until 2 years after onset of treatment. ; Primary end point(s): OUTCOME MEASURES i. Glycaemic control. The glycated haemoglobin index (HbA1c) will be measured at each local diabetes clinic at 8 to 12 week intervals from diagnosis as per routine clinical care. A central (Addenbrooke's hospital) measurement of HbA1c will be performed on all children at 0, 3, 6, 12, 18 and 24 months. ii. Hypoglycaemia frequency. a). Home blood glucose monitoring data. Families will be supplied with a standard home blood gluco | — |
Countries
United Kingdom