Cystic fibrosis-related diabetes MedDRA version: 9.1 Level: HLT Classification code 10012602 Term: Diabetes mellitus (incl subtypes) MedDRA version: 9.1 Level: LLT Classification code 10011762 Term: Cystic fibrosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Subjects included in the study, will be adult patients (age > 18 years) diagnosed with cystic fibrosis-related diabetes for at least one year, stable disease and regularly attending our outpatient clinic. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Exclusion criteria are: pregnancy, pregnancy wish, transplantation, on waiting list for transplantation, planned surgical procedures, proven cystic fibrosis liver disease or other hepatic disease, proven type 1 diabetes mellitus, renal insufficiency (creatinine clearance < 50ml/min), sepsis, alcohol abuse, severe cardiovascular disease, permanent oxygen use, FEV1 % predicted < 30% and BMI < 19.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Investigate the total amount of insulin needed between use of insulin alone and combination therapy with insulin and metformin. Thereby investigate metabolic control, expressed as HbA1c blood levels between both treatment periods.;Secondary Objective: Results from a three-day continuous glucose monitoring (39), body weight, and overall clinical status, expressed as pulmonary functions, number of pulmonary exacerbations, and antibiotics use. Results from a validated quality of life questionnaire for CF patients (40). Insulin sensitivity determined by HOMA-IR. HOMA-IR = (FPI x FPG)/22.5 (FPI = fasting plasma insulin concentration (mU/l); FPG = fasting plasma glucose (mmol/l)) ;Primary end point(s): Daily insulin need HbA1c levels | — |
Countries
Netherlands