Type 1 diabetes Nutritional, Metabolic, Endocrine Insulin-dependent diabetes mellitus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Type 1 diabetes 2. Insufficient metabolic control 3. Clinical or biochemical hyperandrogenism 4. Already had menarche and younger than 22 yr
Exclusion criteria
Exclusion criteria: 1. Type 2 or other type of diabetes. 2. Honeymoon period defined as an insulin daily requirement lower than 0.5 U/kg/day and HbA1c lower than 7%. 3. Diabetes duration less than 1.5 years 4. Abnormal thyroid function; elevated creatinine level 5. Use of contraceptive pills, steroids or any other type of medication 6. Presence of other chronic conditions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hyperandrogenism: One blood sample was obtained at the beginning of the trial (baseline) and a second one was obtained at the end of the trial (9 months). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Hirsutism score. A medical control was performed monthly in order to evaluate hirsutism, and for adjusting insulin dose and check possible side effects. Clinical assessment of hirsutism with a visual scale, Ferriman-Gallwey score, was performed monthly. 2. Metabolic control. HbA1c assessment was performed every three months with blood obtained from capillary puncture of the fingers. 3. Ovulatory function. During the nine months protocol, the patients obtained a sample of capillary blood in a filter paper for measurement of progesterone levels and determine the presence of ovulation. The filter paper was obtained in days 18-23-28 of each menstrual cycle. The capillary blood sample was obtained together with the procedure of capillary blood puncture for measuring glucose levels, which the patients do every day. | — |
Countries
Chile