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Investigation of an insulin-dosing advice system to control blood glucose in hospitalised patients with type 2 diabetes

An open, single-centre, controlled trial to investigate the efficacy and usability of published best practice to control glycaemia in hospitalised patients with type 2 diabetes

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2011-001918-34-AT
Enrollment
Unknown
Registered
2011-05-09
Start date
2011-05-19
Completion date
Unknown
Last updated
2013-12-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 2 Diabetes MedDRA version: 13.1 Level: LLT Classification code 10049746 Term: Insulin-requiring type II diabetes mellitus System Organ Class: 10027433 - Metabolism and nutrition disorders

Interventions

Trade Name: Insulin Aspart (Novorapid) Product Name: Novorapid Pharmaceutical Form: Solution for injection INN or Proposed INN: INSULIN ASPART CAS Number: 116094-23-6 Concentration unit: IU internatio

Sponsors

Medizinische Universität Graz
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: • Informed consent obtained after being advised of the nature of the study • Male or female aged 18 - 90 years (both inclusive) • Type 2 diabetes (diagnosed at least 3 months prior to study start) treated with diet, oral agents, non-insulin injected anti-diabetic medicine, insulin therapy or any combination of the four • Blood glucose in the range between 140 – 400 mg/dl (both inclusive) • Expected stay = 48 hours Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 30 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 34

Exclusion criteria

Exclusion criteria: • Hyperglycemia without known history of type 2 diabetes mellitus • Impaired renal function (serum creatinine =3.0mg/dL) • Clinically relevant hepatic disease • Presence or history of diabetic ketoacidosis • Pregnancy • Any mental condition rendering the patient incapable of giving his consent • Terminally ill patients • Participation in a trail within 3 months prior to this trail • Known or suspected allergy to insulin

Design outcomes

Primary

MeasureTime frame
Main Objective: To compare the efficacy of enhanced published best practice paper-based insulin titration protocol (ePBP) for glycaemic control in hospitalised patients with type 2 diabetes for the length of hospital stay, with a maximum of 21 days.;Secondary Objective: To evaluate safety and usability of ePBP for glycaemic control in hospitalised patients with type 2 diabetes, with a maximum of 21 days. To compare the efficacy of ePBP vs. standard care (SC) for glycaemic control in hospitalised patients with type 2 diabetes for the length of hospital stay, with a maximum of 21 days. ;Primary end point(s): Mean blood glucose as calculated by premeal and bedtime glucose values per treatment day ;Timepoint(s) of evaluation of this end point: At hospital discharge / transfer to other ward/department / if study period exceeds 21 days

Secondary

MeasureTime frame
Secondary end point(s): • Mean daily blood glucose as calculated by blood glucose values per treatment day • Pre-enrolment blood glucose • Number of glucose measurements in target (100-140 mg/dl), hypoglycaemic (70–140-180 mg/dl, 180-<300mg/dl, =300mg/dl) • Hypoglycaemia and possible attendant clinical symptoms, hypoglycaemic episodes requiring third party help • Number of blood glucose measurements per day, number of missed glucose measurements per day • Number and reasons for additionally required blood glucose measurements • Point of time of glucose measurements per day • Insulin dose - basal, bolus and supplemental insulin dose per day • Number of insulin injections per day • Number and reasons for non-performance of insulin injections per day • Number and reason of incorrect calculated insulin dose • Adherence to the ePBP advice • Other usability parameters like workload and workflow of treatment • Number of meals per day • Relevant concomitant medication (corticosteroids, continuous parenteral nutrition) ;Timepoint(s) of evaluation of this end point: At hospital discharge / transfer to other ward/department / if study period exceeds 21 days

Countries

Austria

Contacts

Public ContactClinical Research Center

Medical University of Graz

julia.mader@medunigraz.at+43316385 80416

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026