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Type 1 Diabetes MellitusNCT03720197

Registry of Patients Living With Type 1 Diabetes

An observational study of Type 1 Diabetes Mellitus, run by Institut de Recherches Cliniques de Montreal at 7 sites in Canada.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

A registry of individuals with type 1 diabetes open to all patients with type 1 diabetes living in Canada will be established. The objective of this registry will be to measure the frequency and the severity of episodes of hypoglycemia. Read more about this study

Who is it for?
Any age
Conditions the study is for
Type 1 Diabetes Mellitus
What is being tested?
Online questionnaire - Phase 1, Online questionnaire - Phase 2 and Online questionnaire - Phase 3
How many people
6,000 participants
Where
7 sitesCanada
Study dates
20 Feb 2019to 31 Mar 2027
How long will I take part?
10 Years
Phase
Observational
Are there results?
Not yet: the study is under way

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 Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Individuals with type 1 diabetes living in Canada.

Who may be able to join

  • Diagnosis of type 1 diabetes
  • Living in Canada

Who cannot join

  • Type 2 diabetes
  • Gestational diabetes

Trial locations and contacts

7 sites in 1 country. Contact the study team or a site near you to ask about taking part.

7 sites in 1 country

Canada7 sites, 7 recruiting
  • Alberta Diabetes Institute

    Edmonton, Alberta, T6G 2T9

    Jyoti Singh

    Peter Senior

    Recruiting
  • Institut de recherches cliniques de Montréal

    Montreal, Quebec, H2W 1R7

    Virginie Messier, 514-987-5696, virginie.messier@ircm.qc.ca

    Remi Rabasa-Lhoret

    Recruiting
  • Centre Hospitalier de l'Université de Montréal

    Montreal, Quebec

    Remi Rabasa-Lhoret, 514-987-5696, remi.rabasa-lhoret@ircm.qc.ca

    Remi Rabasa-Lhoret

    Recruiting
  • Centre Hospitalier Universitaire Sainte-Justine

    Montreal, Quebec

    Catherine Pelletier, catherine.pelletier@recherche-ste-justine.qc.ca

    Melanie Henderson

    Recruiting
  • McGill University Health Centre

    Montreal, Quebec

    Laurent Legault, laurent.legault@muhc.mcgill.ca

    Laurent Legault

    Recruiting
  • Centre Hospitalier Universitaire de Québec-Université Laval

    Québec, Quebec

    Claudia Gagnon, claudia.gagnon@crchudequebec.ulaval.ca

    Claudia Gagnon

    Recruiting
  • Centre hospitalier universitaire de Sherbrooke

    Sherbrooke, Quebec

    Andre Carpentier, andre.carpentier@usherbrooke.ca

    Andre Carpentier

    Recruiting

Other trials in Canada

About this study

Official title: Registry of Individuals With Type 1 Diabetes Living in Canada: The BETTER Registry

A registry of individuals with type 1 diabetes open to all patients with type 1 diabetes living in Canada will be established. The objective of this registry will be to measure the frequency and the severity of episodes of hypoglycemia. Participants will be invited to answer questionnaires about the frequency of their hypoglycemic episodes, their fear about hypoglycemia, their symptoms of hypoglycemia, the factors in cause (insulin therapy, nutrition, exercise, etc.), etc.

Participation to the registry is divided in 3 phases. The first phase is mandatory for all participants. Phases 2 and 3 are optional.

Read the detailed description

The objective of phase 1 is to draw an overall picture of the population with type 1 diabetes in Canada in terms of demographics, diabetes treatment, hypoglycemia frequency and diabetes complications. It takes about 10 minutes to answer the questionnaire. If the participant uses a continuous glucose monitor and agrees, the participant is invited to send the latest report of the continuous glucose monitor.

The objective of phase 2 is to characterize the causes, experience and consequences of hypoglycemia. Phase 2 also involves, if the participant accepts and live in the province of Quebec or Alberta, to provide the research team with their latest blood and urine tests as well as their list of medications.

The objective of phase 3 is to collect information on diabetes and hypoglycemia treatment, hyperglycemia management, sleep habits, depression, physical activity and the benefits of technologies to reduce the frequency of hypoglycemia. Phase 3 also involves, if the participant agrees, answering a food questionnaire, wearing a step counter, measuring waist circumference

Being tested
Online questionnaire - Phase 1, Online questionnaire - Phase 2, Online questionnaire - Phase 3, Food questionnaire, Pedometer
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.

  • Online questionnaire - Phase 1Other

    Draw an overall picture of the population with type 1 diabetes in Canada in terms of demographics, diabetes treatment, hypoglycemia frequency and diabetes complications.

  • Online questionnaire - Phase 2Other

    Characterize the causes, experience and consequences of hypoglycemia.

  • Online questionnaire - Phase 3Other

    Collect information on diabetes and hypoglycemia treatment, hyperglycemia management, sleep habits, depression, physical activity and the benefits of technologies to reduce the frequency of hypoglycemia.

  • Food questionnaireOther

    24-hour food recall questionnaire

  • PedometerOther

    Participants will wear a podometer for 14 consecutives days

  • Waist circumferenceOther

    Participants will be asked to measure their waist circumference

  • Blood and urine testsOther

    Participants will be invited to send us their latests blood and urine test results.

  • List of medicationsOther

    Participants will be invited to send us their list of medications

  • Continuous glucose monitorOther

    Participants will be invited to send us the latest report of their continuous glucose monitor

Study groups in NCT03720197
Study groupRoleWhat they receive
Participants aged less than 14 years oldNot described
Receives: Other: Online questionnaire - Phase 1; Other: Continuous glucose monitor
Participants aged 14 years old and olderNot described
Receives: Other: Online questionnaire - Phase 1; Other: Online questionnaire - Phase 2; Other: Online questionnaire - Phase 3; Other: Food questionnaire; Other: Pedometer; Other: Waist circumference; Other: Blood and urine tests; Other: List of medications; Other: Continuous glucose monitor

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of non-severe hypoglycemic episodes

    Participants will be asked to report the number of non-severe hypoglycemic episodes in the last 12 months in a questionnaire designed by the investigators. The definition of non-severe hypoglycemia is a blood sugar below 3.0 mmol/L that the participant was able to treat himself

    Measured: 12 months

Secondary outcomes (9)
  1. Number of severe hypoglycemic episodes

    Participants will be asked to report the number of severe hypoglycemic episodes in the last 12 months in a questionnaire designed by the investigators. The definition of severe hypoglycemia is low blood sugar levels requiring help from another person or use of glucagon or hospitalization or loss of consciousness.

    Measured: 12 months

  2. Fear of hypoglycemia

    Fear of hypoglycemia will be assessed by the Hypoglycemia Fear Survey II.

    Measured: 6 months

  3. Diabetes distress

    Diabetes distress will be assessed by the Diabetes Distress Scale.

    Measured: 1 month

  4. Medical follow-up for diabetes

    Participants will be asked to report in a questionnaire designed by the investigators how many times in the last 12 months they have seen a health care professionals (family doctor, medical specialist, nurse, nutritionnist, kinesiologist, psychologist, pharmacist, social worker).

    Measured: 12 months

  5. Insulin doses

    Participants will be asked to report in a questionnaire designed by the investigators their insulin doses of the last 3 days (basal insulin and insulin given at mealtime).

    Measured: 3 days

  6. Physical activity

    Physical activity will be assessed by the International Physical Activity Questionnaire.

    Measured: 1 week

  7. Sleep habits

    Sleep habits will be assessed by the Pittsburgh Sleep Quality Index

    Measured: 1 month

  8. Depression

    Depression will be assessed by the Patient Health Questionnaire (PHQ-9)

    Measured: 2 weeks

  9. Number of steps

    The number of steps will be measured by a pedometer

    Measured: 14 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Oct 2018
  2. Study start20 Feb 2019
  3. Primary completion31 Mar 2027 (estimated)
  4. Study completion31 Mar 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
6,000 participants (estimated)
Target duration
10 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT03720197
Sponsor's protocol ID
BETTER
Status last verified
Feb 2025
First submitted
19 Oct 2018
Last updated
25 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Housni A, Katz A, Kichler JC, Nakhla M, Secours L, Brazeau AS. Predictors of stigma perception by people with type 1 diabetes: A cross-sectional analysis of the BETTER registry. Diabetes Metab Syndr. 2024 Aug;18(8):103112. doi: 10.1016/j.dsx.2024.103112. Epub 2024 Aug 29.

    PubMed 39236506
  • Lalanne-Mistrih ML, Bonhoure A, Messier V, Boudreau V, Lebbar M, Talbo MK, Sun CJ, Bandini A, Secours L, Calderon V, Grou C, Tressieres B, Brazeau AS, Rabasa-Lhoret R. Overweight and Obesity in People Living With Type 1 Diabetes: A Cross-Sectional Analysis of the BETTER Registry. Diabetes Metab Res Rev. 2024 Sep;40(6):e3837. doi: 10.1002/dmrr.3837.

    PubMed 39193662
  • Madar H, Lalanne-Mistrih ML, Lebbar M, Wu Z, Robitaille Y, Pelletier J, Grou C, Brazeau AS, Rabasa-Lhoret R. Cardiovascular Risk Factors and Adherence to Cardiovascular Protection Practice Guidelines in Adults With Type 1 Diabetes: A BETTER Registry Cross-sectional Analysis. Can J Diabetes. 2023 Aug;47(6):473-481.e1. doi: 10.1016/j.jcjd.2023.04.006. Epub 2023 Apr 12.

    PubMed 37059389
  • Wu Z, Talbo M, Lebbar M, Messier V, Courchesne A, Brazeau AS, Rabasa-Lhoret R. Characteristics associated with having a hemoglobin A1c </= 7 % (</=53 mmol/mol) among adults with type 1 diabetes using an automated insulin delivery system. Diabetes Res Clin Pract. 2023 Dec;206:111006. doi: 10.1016/j.diabres.2023.111006. Epub 2023 Nov 10.

    PubMed 37952601
  • Talbo MK, Lebbar M, Wu Z, Vanasse A, Lalanne-Mistrih ML, Brazeau AS, Rabasa-Lhoret R. Gender differences in reported frequency and consequences of hypoglycemia among adults living with type 1 diabetes: Results from the BETTER registry. Diabetes Res Clin Pract. 2023 Aug;202:110822. doi: 10.1016/j.diabres.2023.110822. Epub 2023 Jul 7.

    PubMed 37423499
  • Wu Z, Rabasa-Lhoret R, Messier V, Shohoudi A, Dasgupta K, Pelletier J, Brazeau AS. Self-reported haemoglobin A1c highly agrees with laboratory-measured haemoglobin A1c among adults living with type 1 diabetes: A BETTER registry study. Diabetes Metab. 2022 Jan;48(1):101277. doi: 10.1016/j.diabet.2021.101277. Epub 2021 Sep 9. No abstract available.

    PubMed 34509633
  • Nguyen E, Wong K, Lalanne-Mistrih ML, Rabasa-Lhoret R, Brazeau AS. Association between low-carbohydrate-diet score, glycemia and cardiovascular risk factors in adults with type 1 diabetes. Nutr Metab Cardiovasc Dis. 2024 Sep;34(9):2143-2154. doi: 10.1016/j.numecd.2024.04.014. Epub 2024 Apr 27.

    PubMed 38866607
  • Talbo MK, Katz A, Dostie M, Legault L, Brazeau AS. Associations Between Socioeconomic Status and Patient Experience With Type 1 Diabetes Management and Complications: Cross-sectional Analysis of a Cohort From Quebec, Canada. Can J Diabetes. 2022 Aug;46(6):569-577. doi: 10.1016/j.jcjd.2022.02.008. Epub 2022 Mar 3.

    PubMed 35864032
  • Talbo MK, Rabasa-Lhoret R, Yale JF, Peters TM, Brazeau AS. Are nocturnal hypoglycemia prevention strategies influenced by diabetes technology usage? A BETTER registry analysis. Diabetes Res Clin Pract. 2022 Sep;191:110080. doi: 10.1016/j.diabres.2022.110080. Epub 2022 Sep 12.

    PubMed 36099973
  • Prevost MS, Rabasa-Lhoret R, Talbo MK, Yardley JE, Curry EG, Brazeau AS. Gender Differences in Strategies to Prevent Physical Activity-Related Hypoglycemia in Patients With Type 1 Diabetes: A BETTER Study. Diabetes Care. 2022 Mar 1;45(3):e51-e53. doi: 10.2337/dc21-1899. No abstract available.

    PubMed 35045175
  • Madar H, Wu Z, Bandini A, Perkins B, Messier V, Pomey MP, Brazeau AS, Rabasa-Lhoret R. Influence of severe hypoglycemia definition wording on reported prevalence in adults and adolescents with type 1 diabetes: a cross-sectional analysis from the BETTER patient-engagement registry analysis. Acta Diabetol. 2023 Jan;60(1):93-100. doi: 10.1007/s00592-022-01987-9. Epub 2022 Oct 17.

    PubMed 36245008
  • Brazeau AS, Messier V, Talbo MK, Gagnon C, Taleb N, Fortier I, Wu Z, Perkins BA, Carpentier AC, Bandini A, Rabasa-Lhoret R; BETTER Study Group. Self-reported Severe and Nonsevere Hypoglycemia in Type 1 Diabetes: Population Surveillance Through the BETTER Patient Engagement Registry: Development and Baseline Characteristics. Can J Diabetes. 2022 Dec;46(8):813-821. doi: 10.1016/j.jcjd.2022.05.010. Epub 2022 May 28.

    PubMed 35835670

Questions about this trial

What is this clinical trial studying?

An observational study of Type 1 Diabetes Mellitus, run by Institut de Recherches Cliniques de Montreal at 7 sites in Canada.

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 2 inclusion and 2 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: looking for participants now, as of the sponsor's last update on 25 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in Canada. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Virginie Messier (514-987-5500 ext. 3227, virginie.messier@ircm.qc.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of non-severe hypoglycemic episodes (time frame: 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03720197, which also lists 12 linked publications.

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 25 Feb 2025.

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