Status:

COMPLETED

Evaluation of an Algorithm for Intensive s.c. Insulin Therapy in Emergency Room Patients With Hyperglycaemia

Lead Sponsor:

University Hospital, Basel, Switzerland

Conditions:

Hyperglycemias

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The aim of this study is to test the safety and efficacy of a new algorithm for intensive s.c. insulin injection in medical emergency patients with hyperglycaemia (plasma glucose concentration ≥ 8 mmo...

Detailed Description

BACKGROUND: Prospective randomized trials have shown that near-normoglycemic blood glucose control using insulin infusions achieves a significant reduction in mortality of severely ill patients in int...

Eligibility Criteria

Inclusion

  • all patients with hyperglycaemia (≥ 8.0 mmol/l) admitted to the medical emergency room.
  • patients with presumed hospitalisation in ER or medical ward of more than 48 h duration.

Exclusion

  • patients in shock (defined as hypotension or shock index \> 1 with oliguria, changed mental status and metabolic acidosis)
  • patients with a terminal illness on palliative care
  • patients with type 1 diabetes
  • patients with insulin pump therapy
  • patients with need for hospitalisation in the intensive or coronary care unit.
  • patients with presumed hospitalisation shorter than 48 hours
  • known pregnancy (in women with childbearing potential pregnancy test for exclusion mandatory)
  • no informed consent

Key Trial Info

Start Date :

December 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2010

Estimated Enrollment :

130 Patients enrolled

Trial Details

Trial ID

NCT00353431

Start Date

December 1 2006

End Date

October 1 2010

Last Update

May 18 2012

Active Locations (1)

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1

Division of Endocrinology, Diabetes & Clinical Nutrition, Dept of Internal Medicine,

Basel, Canton of Basel-City, Switzerland, 4031