Diabetes Mellitus, Type 1
Conditions
Brief summary
The main purpose of this study is to determine whether combining meal, glucose, and insulin data in a web-based system will improve management of type 1 diabetes (T1D). No study drug will be given. The study will last about 18 weeks.
Interventions
Meal tagging app to capture frequently eaten meals and test meals for 16 weeks.
Fitness tracker will be worn around the clock for 16 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* T1D by clinical diagnosis for \> 3 years * Insulin pump use \> 3 months: must use one of the following pump types: Animas Ping and Vibe, Insulet Omnipod, Medtronic 523/723 and 530G, Tandem t:slim and t:flex * Continuous Glucose Monitor (CGM) \> 3 months and current use of Dexcom G5 at least 6 out of 7 days per week * HbA1c 7.0-9.5% * Must have iPhone (meal-tagging app has been built on iOS) * Personal computer for uploading of pump and CGM devices * Willingness to follow study protocol including tagging food data * Comfort speaking, reading, and writing English
Exclusion criteria
* Individuals currently using a hybrid closed-loop system (e.g., Medtronic 670G) * Individuals planning to follow a specific diet plan for weight loss * Inability to consume common meals * Gastroparesis; * Eating disorder * Evidence of missed insulin meal-time insulin boluses on pump download * Use of medications that can affect blood glucose levels (such as SGLT inhibitors, steroid, beta agonists) * Use of medications that affect gastric emptying (such as GLP agonists, pramlinitide) * Alcohol abuse * Pre-conception, pregnancy, or lactation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline to Week 16 in Hemoglobin A1c (HbA1c) | Baseline to Week 16 | Change from Baseline to Week 16 in HbA1c |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline to Week 16 in Post-Prandial Glucose Concentrations Following Commonly Eaten Meals | Baseline to Week 16 | Change from Baseline to Week 16 in Post-Prandial Glucose Concentrations Following Commonly Eaten Meals |
Countries
United States