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A prospective observational study to investigate the relationship between glucose fluctuation and a subsequent incidence of cardiovascular events in patients with type 2 diabetes

A prospective observational study to investigate the relationship between glucose fluctuation and a subsequent incidence of cardiovascular events in patients with type 2 diabetes - glucose fluctuation and cardiovascular events

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
JPRN
Registry ID
JPRN-UMIN000032325
Enrollment
1000
Registered
2018-04-20
Start date
2018-04-21
Completion date
Unknown
Last updated
2026-06-29

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

Conditions

type 2 diabetes

Interventions

None listed

Sponsors

Juntendo University Graduate School of Medicine
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1)30 years of age or older and 80 years of age or younger(regardless of gender) 2)T2DM patients treated at the outpatient clinic. 3)signing consent form for participation in the study. 4)No changes (including new prescriptions) in their antidiabetic medication for at least 4 weeks before FreeStyle Libre Pro sensors were applied at the back of the upper arm of each participant.

Exclusion criteria

Exclusion criteria: 1)patients with type 1 or secondary diabetes 2)presence of severe infectious disease, before or after surgery, or severe trauma, 3)history of myocardial infarction, angina pectoris, cerebral stroke, or cerebral infarction, or arteriosclerosis obliterans4)patients undergoing artificial dialysis5)moderate liver dysfunction (aspartate aminotransferase 100 IU/l or more) 6)moderate or severe heart failure (NYHA/New York Heart Association stage III or severer) 7)patients with pregnant, lactating, or possibly pregnant women, or those planning to become pregnant during the study period 8) Present or past history of a malignant tumor (exception: those not on medication for malignant tumor and with no recurrence of the disease to date and without recurrence risks during this study were allowed to participate.) 9) patients with use of Sensor Augmented Pump 10) patients judged as ineligible by the clinical investigators.

Design outcomes

Primary

MeasureTime frame
The primary study outcome is to investigate the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring and the incidence of composite cardiovascular events including cardiovascular death, acute myocardial infarction, unstable angina pectoris, revascularization for the treatment of coronary artery diseases, ischemic stroke, or revascularization for the treatment of arteriosclerosis obliterans.

Secondary

MeasureTime frame
1) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring and the incidence of composite cardiovascular events (a, b or c, or each of a,b and c) a)heart diseases (cardiovascular death, acute myocardial infarction, unstable angina pectoris, revascularization for the treatment of coronary artery diseases or hospitalization for heart failure) b)cerebrovascular diseases (ischemic stroke, hemorrhagic stroke or subarachnoid haemorrhage) c)artery diseases (arteriosclerosis obliterans, revascularization for the treatment of arteriosclerosis obliterans or lower limb amputation) 2) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring and the incidence of malignant tumors, 3) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring and all-cause mortality in addition to a) plus b) plus c) as described above. 4) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring, and cardiovascular death, myocardial infarction or stroke. 5) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring, and cardiovascular death, myocardial infarction, unstable angina, or stroke. 6) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring, and development or progression of diabetic retinopathy or nephropathy. 7) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring, and changes in mean carotid intima media thickness, max carotid intima media thickness, gray-scale median, or brachial-ankle pulse wave velocity. 8) the relationships between fluctuations in glucose levels evaluated by continuous glucose monitoring, and changes in Diabetes Therapy-Related QOL scores or Pittsburgh Sleep Quality Index scores. etc.

Countries

Japan

Contacts

Public Contactohmura mita tomoya

Juntendo University Graduate School of Medicine Department of Metabolism & Endocrinology

tom-m@juntendo.ac.jp+81358021579

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026