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The Glycaemic Effects of Glucerna® in Critically Ill Patients.

Glucerna in Critically Ill Patients (GluCip Trial): Investigating the Glycaemic Effects of a Reduced-carbohydrate, Modified-fat, Fiber-containing Enteral Formula (Glucerna®) in Critically Ill Patients.

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02594865
Acronym
GluCip
Enrollment
100
Registered
2015-11-03
Start date
2015-09-30
Completion date
2016-06-30
Last updated
2016-06-27

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

Conditions

Disorder of Glucose Regulation

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

DIETARY_SUPPLEMENTGlucerna

Glucerna ® 1.5 kcal (Abbott, USA), the standard enteral formula used at our ICU and the investigational enteral feeding.

DIETARY_SUPPLEMENTFresubin

Fresubin ® Energy Fibre (Fresenius, UK), the control enteral feeding.

Sponsors

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
CollaboratorOTHER
PHJ van der Voort
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Glucose variability72 hoursThe 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

MeasureTime frameDescription
Time in target range72 hoursDefined as a glucose between 6-9 mmol/l in minutes/day.
Mean glucose and standarddeviation72 hoursDefined as the mean sensor glucose and standarddeviation in mmol/l.
Number of severe hypoglycemic events72 hoursHypoglycemic event is defined as a sensor glucose below 2.2 mmol/l.
Duration of severe hypoglycemic events72 hoursHypoglycemic event is defined as a sensor glucose below 2.2 mmol/l. Duration is measured in minutes/day.
Amount of insulin use72 hoursIn units/day.
Duration of severe hyperglycemic events72 hoursHyperglycemic event is defined as a sensor glucose above 15.0 mmol/l. Duration is measured in minutes/day.
Daily calorie administration72 hoursDefined as amount of calories received per patient/day.
Daily nutrient administration72 hoursDefined as amount of nutrients (carbohydrates, fat, proteins) received per patient/day.
Number of severe hyperglycemic events72 hoursHyperglycemic event is defined as a sensor glucose above 15.0 mmol/l.

Countries

Netherlands

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026