Type 1 Diabetes MellitusNCT03554590
DM1, Effects of Carbo-Counting on Glycemic Control
A study testing carbohydrate counting in people with Type 1 Diabetes Mellitus, run by Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico at 1 site in Italy.
Trial summary
Carbohydrate counting is the most effective meal-planning strategy in type 1 diabetes (T1DM) to optimize insulin therapy. However, it may lead to weight gain and unhealthy eating habits. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Type 1 Diabetes Mellitus
- What is being tested?
- carbohydrate counting
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 1 siteItaly
- Study dates
- Dec 2016to Jan 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- type 1 diabetes mellitus
- insulin therapy
- HbA1c from 5.5 to 10%
Who cannot join
- pregnancy
- celiac disease
- hepatic impairment
- chronic renal failure
Trial locations and contacts
1 site in 1 country.
Italy1 site, 1 recruiting
- Recruiting
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan, 20133
Valeria Grancini, MD, 00393926233299, valeria_grancini@hotmail.it
About this study
Official title: Effectiveness of Carbohydrate Counting on Glycaemic Control in T1DM Patients
Carbohydrate counting is the most effective meal-planning strategy in type 1 diabetes (T1DM) to optimize insulin therapy. However, it may lead to weight gain and unhealthy eating habits. This study aims to compare glycemic control parameters, anthropometric measurements and dietary lifestyle in T1DM patients who practice CHO-counting, after attending a structured course to learn how to manage this tecnique, vs a control Group, in a follow up period of 2 years.
Read the detailed description
patients with type 1 DM will be enrolled in the study. patients in the intervention group will attend a 5-lessons training to learn how to manage insulin therapy depending on the amount of carbohydrates in their meals, patients in the control group will be follow according to the the standard care. after the follow up period glycometabolic, anthropometric parameters and dietary lifestyle changes will be compared between the two groups.
- Conditions
- Type 1 Diabetes Mellitus
- Being tested
- carbohydrate counting, insulin therapy according to standard care
- Keywords
- carbohydrate counting, insulin therapy
- Medical subject headings
- Diabetes Mellitus, Type 1
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
carbohydrate countingBehavioural
patients will attend a 5 meetings-structured training to learn how to manage their insulin therapy depending on the amount of carbohydrates contained in foods
insulin therapy according to standard careBehavioural
patients will not manage their insulin therapy depending on the amount of carbohydrates contained in foods, but will follow a fix basal bolus scheme
| Study group | Role | What they receive |
|---|---|---|
| carbo-counters | Experimental | carbohydrate counting: patients attending a structured carbohydrate-counting training and practicing this tecnique to manage insulin therapy Receives: Behavioral: carbohydrate counting |
| control group | Active comparator | insulin therapy according to standard care. patients who don't practice carbohydrate-counting to manage insulin therapy Receives: Behavioral: insulin therapy according to standard care |
What is being measured
The primary outcome is the main question the study is designed to answer.
glycemic control
HbA1c
Measured: 2 years
Secondary outcomes (6)
anthropometric parameters: BMI
variations in body mass index (BMI: units kg/m2), weight and height will be combined to report BMI in kg/m^2
Measured: 2 years
anthropometric parameters: WAIST AND HIP CIRCUMFERENCE
variations in waist and hip circumference (units: cm)
Measured: 2 years
anthropometric parameters: BIOIMPEDENTIOMETRIC PARAMETERS
fat mass and free fat mass (units: % of total mass)
Measured: 2 years
dietary lifestyle
variations in intake of simple sugars, animal protein rich foods, saturated fats and cholesterol, UDM: grams/die. All the informations will be collected using 5days food diaries, completed by the patients.
Measured: 2 years
glucose variability: mean and standard deviation of self monitoring blood glucose (SMBG)
mean and standard deviation of self monitoring blood glucose (SMBG), data collected from glucometers, units: mg/dl
Measured: 2 YEARS
glucose variability: incidence of hypoglycaemia
incidence of hypoglycaemia (SMBG < 70 mg/dl), units: n° episodes/week
Measured: 2 YEARS
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jun 2018
- Study startDec 2016
- Primary completionDec 2018 (estimated)
- Study completionJan 2020 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Type 1 Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by Fondazione IRCCS Ca' Granda, Ospedale Maggiore PoliclinicoThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 50 participants (estimated)
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Emanuela Orsi, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico
- Investigators
- Emanuela Orsi, Principal investigator, FOndazione IRCCS Ca' Granda Opedale Maggiore Policlinico Milano
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03554590
- Sponsor's protocol ID
- DM1cc
- Status last verified
- May 2018
- First submitted
- 3 Mar 2017
- Last updated
- 13 Jun 2018
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Jun 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of Carbohydrate Counting on Glycaemic Control in T1DM Patients
- ClinicalTrials.gov ID
- NCT03554590
- Acronym / sponsor ID
- DM1cc
- Conditions
- Type 1 Diabetes Mellitus
- Keywords
- carbohydrate counting, insulin therapy
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 50 participants (estimated)
- Lead sponsor
- Fondazione IRCCS Ca' Granda, Ospedale Maggiore PoliclinicoUniversity, hospital or other
- Study start
- Dec 2016 (actual)
- Primary completion
- Dec 2018 (estimated)
- Study completion
- Jan 2020 (estimated)
- First posted
- 13 Jun 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Carbohydrate counting is the most effective meal-planning strategy in type 1 diabetes (T1DM) to optimize insulin therapy. However, it may lead to weight gain and unhealthy eating habits. This study aims to compare glycemic control parameters, anthropometric measurements and dietary lifestyle in T1DM patients who practice CHO-counting, after attending a structured course to learn how to manage this tecnique, vs a control Group, in a follow up period of 2 years.
Detailed description
patients with type 1 DM will be enrolled in the study. patients in the intervention group will attend a 5-lessons training to learn how to manage insulin therapy depending on the amount of carbohydrates in their meals, patients in the control group will be follow according to the the standard care. after the follow up period glycometabolic, anthropometric parameters and dietary lifestyle changes will be compared between the two groups.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| carbo-counters | Experimental | Behavioral: carbohydrate countingcarbohydrate counting: patients attending a structured carbohydrate-counting training and practicing this tecnique to manage insulin therapy |
| control group | Active comparator | Behavioral: insulin therapy according to standard careinsulin therapy according to standard care. patients who don't practice carbohydrate-counting to manage insulin therapy |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- type 1 diabetes mellitus
- insulin therapy
- HbA1c from 5.5 to 10%
Key exclusion criteria (4 listed)
- pregnancy
- celiac disease
- hepatic impairment
- chronic renal failure
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| carbohydrate countingpatients will attend a 5 meetings-structured training to learn how to manage their insulin therapy depending on the amount of carbohydrates contained in foods | Behavioural | carbo-counters |
| insulin therapy according to standard carepatients will not manage their insulin therapy depending on the amount of carbohydrates contained in foods, but will follow a fix basal bolus scheme | Behavioural | control group |
Primary outcome
glycemic control
Time frame: 2 years
HbA1c
6 secondary outcomes
anthropometric parameters: BMI
Time frame: 2 years
anthropometric parameters: WAIST AND HIP CIRCUMFERENCE
Time frame: 2 years
anthropometric parameters: BIOIMPEDENTIOMETRIC PARAMETERS
Time frame: 2 years
dietary lifestyle
Time frame: 2 years
glucose variability: mean and standard deviation of self monitoring blood glucose (SMBG)
Time frame: 2 YEARS
glucose variability: incidence of hypoglycaemia
Time frame: 2 YEARS
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jun 2018.
- Individual participant dataSharing planned: No
Related trials for Type 1 Diabetes Mellitus
Not yet recruitingPhase 3
A Study to Evaluate the Effectiveness and Safety of the Drug AZD6234 for Managing Weight in Adults Who Are Obese or Overweight. These Participants May or May Not Also Have Type 2 Diabetes
Obesity, Overweight
RecruitingPhase 1
Pharmacokinetics, Safety, and Immunogenicity Comparison of Bmab1700 and Opdivo® as Adjuvant Monotherapy in Participants With Melanoma
Melanoma
Active, not recruitingPhase 2
A Study of Botensilimab and Balstilimab for the Treatment of Colorectal Cancer
Metastatic Colorectal Cancer
Not yet recruiting
Inter-Arm Differences in Continuous Glucose Monitor Readings in Adults With Diabetes
Continuous Glucose Monitoring, Type 1 Diabetes
RecruitingObservational study
Estimated Risk of Preeclampsia in the First Trimester and Its Association With Subclinical Atherosclerosis and Cardiovascular Risk in Women With Type 1 Diabetes
Type 1 Diabetes, Preeclampsia
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Emanuela Orsi principal investigator
FOndazione IRCCS Ca' Granda Opedale Maggiore Policlinico Milano
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing carbohydrate counting in people with Type 1 Diabetes Mellitus, run by Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico at 1 site in Italy.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 13 Jun 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Emanuela Orsi, MD (0255034590, emanuela_orsi@yahoo.it), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
glycemic control (time frame: 2 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Jun 2018.