Disorder of Glucose Regulation
Conditions
Keywords
Enteral Nutrition, Continuous Glucose Monitoring
Brief summary
To investigate whether the administration of Glucerna achieves less glycaemic variability, defined as the mean absolute glucose (MAG) change, and better glycaemic control compared to a standard high-carbohydrate enteral formula. Continuous glucose monitoring technology will be used to evaluate glycaemic variability and glycaemic control.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years; * Patients with an anticipated stay of at least 48 hours of admission to the intensive care * Expected to receive enteral feeding for at least 48 hrs * Indication for glucose regulation with insulin (according to the current glucose treatment protocol) * Patient or surrogate understands and signs informed consent document.
Exclusion criteria
* Patients with pre-existing contraindications to enteral feeding or to placement of a continuous glucose monitoring system * Patients previously randomised into the GluCip trial * Any disease or condition which the investigator or treating physician feels would interfere with the trial or the safety of the patient.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Glucose variability | 72 hours | The primary outcome is the extent of glucose variability, defined as the mean absolute glucose (MAG) change (delta glucose/delta time) in mmol/l/hr. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time in target range | 72 hours | Defined as a glucose between 6-9 mmol/l in minutes/day. |
| Mean glucose and standarddeviation | 72 hours | Defined as the mean sensor glucose and standarddeviation in mmol/l. |
| Number of severe hypoglycemic events | 72 hours | Hypoglycemic event is defined as a sensor glucose below 2.2 mmol/l. |
| Duration of severe hypoglycemic events | 72 hours | Hypoglycemic event is defined as a sensor glucose below 2.2 mmol/l. Duration is measured in minutes/day. |
| Amount of insulin use | 72 hours | In units/day. |
| Duration of severe hyperglycemic events | 72 hours | Hyperglycemic event is defined as a sensor glucose above 15.0 mmol/l. Duration is measured in minutes/day. |
| Daily calorie administration | 72 hours | Defined as amount of calories received per patient/day. |
| Daily nutrient administration | 72 hours | Defined as amount of nutrients (carbohydrates, fat, proteins) received per patient/day. |
| Number of severe hyperglycemic events | 72 hours | Hyperglycemic event is defined as a sensor glucose above 15.0 mmol/l. |
Countries
Netherlands