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Optimising control of diabetes before surgery

Individualised Preoperative Optimisation of Glycaemic Control in Patients with Diabetes Mellitus

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON23762
Enrollment
200
Registered
2018-09-25
Start date
2018-10-01
Completion date
Unknown
Last updated
2024-02-28

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

Conditions

diabetes mellitus preoperative glucose glycaemic control suikerziekte preoperatief

Interventions

On the day of preoperative consultation, HbA1c will be measured. Patients with an HbA1c =53 mmol/mol will be randomised to an intervention group or control group. Patients in the intervention group w

Sponsors

Academic Medical Center
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: - Diabetes mellitus type 2 (diagnosis at least 3 months prior to pre-operative screening) - Age 18 - 85 years - Elective non-cardiac surgery - Scheduled for surgery at least 7 days from date of screening - Informed consent

Exclusion criteria

Exclusion criteria: - Bariatric surgery - Palliative surgery - Outpatient or day case surgery - (Potentially) pregnant or breast-feeding - Unable to communicate in Dutch or English, psychiatric disorder, known therapy incompliance or deemed unfit by the researchers for another reason

Design outcomes

Primary

MeasureTime frame
The primary endpoint of the study will be the number of days at home up to 30 days after surgery (DAH30), which is a single, pragmatic, patient-centred outcome.

Secondary

MeasureTime frame
Secondary outcomes are preoperative and postoperative blood glucose concentrations, incidence of hyperglycaemia and hypoglycaemia (glucose >10 mmol/l or <4 mmol/l, respectively) and change from baseline HbA1c, fructosamine, and 1,5- anhydroglucitol.

Contacts

Public ContactA.H. Hulst

Academisch Medisch Centrum Postbus 22660

a.h.hulst@amc.uva.nl0615222469

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)