Diabetes Mellitus, Type 2
Conditions
Brief summary
Primary Objective: 1- Proportion of patients with mean daily glycemia \<140mg/dL during the period of 7 days of treatment with glargine plus supplemental glulisine versus patients with glulisine sliding scale. Secondary Objective: 1. Incidence of moderate hyperglycemia (\>140mg/dL) during the treatment period. 2. Incidence of hypoglycemia (\<60mg/dL and \< 40mg/dL) during the treatment period. 3. Incidence of severe hyperglycemia (\>400mg/dL) during the treatment period. 4. Total dose of insulin and correction dose in each group.
Interventions
Pharmaceutical form: Lantus® (100 U/ml) Route of administration: Subcutaneous injection with SoloStar® (3 ml) pen device. Dose regimen: Single daily dose of Insulin Glargine
Pharmaceutical form: Apidra® (100 U/ml) Route of administration: Subcutaneous injection with SoloStar® (3 ml) pen device Dose regimen: Arm1: Every 6 hours Arm2: several daily dose according to sliding scale of Insulin Glargine
Sponsors
Study design
Eligibility
Inclusion criteria
* Men and women with type 2 diabetes that will need enteral nutrition with carbohydrate content. * Glycemia \>140mg/dL and \< 400mg/dL at admission on the ward. * Informed consent (patient or legally authorized representative)
Exclusion criteria
* Hypersensibility to insulin glargine or glulisine, or any other component of the insulin formulation. * Use of investigational medications during the last 12 months or use of any investigational insulin preparation during the last 4 months. * History of diabetic ketoacidosis or hyperosmolar hyperglycaemic state or ketonuria. * Subjects with conditions that are expected to need surgery or intensive care unit (ICU)admission based on discussions with the treatment team and attending physician. * Pregnancy. * Severe hepatic disease or active hepatitis. * Cardiac failure class III or IV (Classification de la New York Heart Association:NYHA). * Diagnosed advanced autonomic neuropathy. * Diagnosed cancer. * Active infection. * Current therapy with steroids. * Patients with recognized or suspected endocrine disorders associated with increased insulin resistance, acromegaly, or hyperthyroidism. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Glycaemic parameters assessment | During the period of 7 Days of treatment |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of moderate and severe hyperglycemia | During the period of 7 Days of treatment |
| Incidence of symptomatic, nocturnal and severe hypoglycemias | During the period of 7 Days of treatment |
Countries
Brazil