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Phase 4 Crossover Study Comparing the Effect of Insulin Glulisine to Insulin Aspart on Breakfast Post Prandial Blood Glucose Levels in Prepubertal Children With Type 1 Diabetes Mellitus on Multiple Daily Insulin Injection Therapy

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City:   Grand Rapids
State:   Michigan
Zip Code:   49503
Conditions:   Type 1 Diabetes Mellitus
Purpose:   To determine whether insulin glulisine decreases the breakfast post prandial glycemic excursion in comparison to insulin aspart.
Study Summary:   This is a treatment, open label, crossover study comparing two and four hour breakfast post prandial blood glucose levels after receiving a dose of insulin glulisine or insulin aspart administered subcutaneously and consuming the breakfast meal from a prescribed menu containing 45, 60 or 75 grams of carbohydrate. Each subject will receive insulin glulisine for ten days and insulin aspart for ten days.
Criteria:   Inclusion Criteria: - current patient in the Helen DeVos Children's Hospital Diabetes Clinic; - ages 4-11 years; - prepubertal (Tanner Stage I); - diagnosed with type 1 diabetes mellitus with positive islet cell antibodies or presenting at time of diagnosis with positive serum or urine ketones and requiring insulin since diagnosis; - at least six months from date of diagnosis of type 1 diabetes mellitus; - TSH within reference range and negative transglutaminase IgA antibodies within nine months of study start; - HbA1C between 6.9 and 10% within 30 days of study start; parent or guardian able and willing to provide written informed consent prior to enrollment; - at time of study start, current insulin regimen includes multiple daily injections with insulin glargine as the basal insulin and insulin aspart or insulin lispro as the pre-meal rapid acting insulin Exclusion Criteria: - pubertal (Tanner stage 2 or greater); - concurrent Addison's disease, celiac disease or untreated hypothyroidism; - receiving oral, injectable or inhaled steroids or immunosuppressant medications; - receiving stimulants for treatment of attention deficit disorder or attention deficit hyperactivity disorder; - intercurrent illnesses such as a fever > 101 degrees F, infection, or gastroenteritis; - use of any medication to treat diabetes other than those listed under in inclusion criteria; - potential for lack of compliance or any other issue which, in the opinion of the investigator, would compromise the subject's safety or successful participation in the study
NCT ID:   NCT00913497
Primary Contact:   Principal Investigator
Ayse P Cemeroglu, MD
Helen DeVos Childrens Hospital

Lora E. Kleis, RN
Phone: 616-391-2419
Email: lora.kleis@devoschildrens.org
Backup Contact:   Email: ayse.cemeroglu@devoschildrens.org
Ayse P. Cemeroglu, MD
Phone: 616- 391-3933
Location Contact:   Grand Rapids, Michigan 49503
United States



There is no listed contact information for this specific location.

Site Status: Recruiting

Data Source:   ClinicalTrials.gov
Date Processed:   May 25, 2013
Modifications to this listing:   Only selected fields are shown, please use the link below to view all information about this clinical trial.
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