Status:

COMPLETED

Caffeine Ingestion to Counter the Exercise-mediated Fall in Glycaemia in Type 1 Diabetes

Lead Sponsor:

Insel Gruppe AG, University Hospital Bern

Conditions:

Caffeine and Carbohydrate

Carbohydrate Only

Eligibility:

All Genders

18-45 years

Phase:

NA

Brief Summary

This project will aim to investigate the clinical efficacy and metabolic effects of a pre-exercise dose of caffeine with a low (10g) dose of carbohydrate (CAF+lowCHO) without modification of insulin d...

Detailed Description

Treatment of type 1 diabetes (T1D) involves lifelong use of exogenous insulin to manage blood glucose concentration. As with the rest of the population, people living with T1D are recommended to engag...

Eligibility Criteria

Inclusion

  • Type 1 diabetes for ≥1 year and negative C-peptide (\<100pmol/l)
  • Male and female aged 18-45 years old
  • HbA1c \<8.5% (69 mmol/mol) based on analysis from the central laboratory unit of Bern University Hospital
  • Using multiple daily injections
  • Using insulin degludec (Tresiba; Novo Nordisk A/S, Bagsværd, Denmark) as basal insulin for a minimum of 3 months
  • Written informed consent
  • Able and willing to adhere to safe contraception during the study and for 2 weeks after completion of the study. Safe contraception comprises double barrier methods (hormonal contraception \[like: oral contraceptive pills or intrauterine contraceptive devices\] together with a mechanical barrier \[like: condom, diaphragm\]).

Exclusion

  • Physical or psychological disease likely to interfere with the normal conduct of the study as judged by the investigator
  • Continuous subcutaneous insulin infusion (using an insulin pump)
  • Hypoglycaemic unawareness (Gold likert score ≥4) or having experienced any episode of a severe hypoglycaemic event within the last 6 months (i.e. need of third-party assistance).
  • Current treatment with drugs known to interfere with metabolism e.g. systemic corticosteroids, SGLT2 inhibitors, Glucagon like 1 peptide- receptor agonists, or metformin.
  • Relevant diabetic complications as judged by the investigator and based on medical record check (no cardiovascular disease and no significant microvascular disease)
  • Microalbuminuria (as defined by area under the curve \>30 mg/g)
  • Body mass index more than or equal to 30 kg/m2
  • Uncontrolled hypertension (\>180/100 mmHg)
  • Pregnant or planning to become pregnant during the study period (females only)
  • Breastfeeding

Key Trial Info

Start Date :

February 4 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 2 2023

Estimated Enrollment :

21 Patients enrolled

Trial Details

Trial ID

NCT04671043

Start Date

February 4 2022

End Date

February 2 2023

Last Update

March 14 2023

Active Locations (1)

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1

Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland

Bern, Switzerland, 3010