Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06185296

The Intelligent Diabetes TelemonitoRing Using Decision Support to Treat Patients on Insulin Trial: Study Protocol for a Randomized Controlled Trial

Led by Aalborg University Hospital · Updated on 2026-02-09

51

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

A

Aalborg University Hospital

Lead Sponsor

N

Novo Nordisk A/S

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating telemonitoring methods to support insulin treatment in adults with type 2 diabetes (T2D) who are on insulin therapy. This open-label, randomized controlled trial compares an intelligent telemonitoring system that uses decision-support algorithms with regular telemonitoring and usual care. The study aims to understand how these technologies affect glucose control and treatment management over a three-month period. Participants will be randomly assigned to one of three groups: the intelligent telemonitoring group, the telemonitoring group, or the usual care group. Both telemonitoring groups will use devices including a continuous glucose monitor (CGM), an insulin pen, an activity tracker (Fitbit), and a smartphone application during the trial. The intelligent telemonitoring group additionally benefits from decision-support algorithms accessible to both hospital staff and patients, including a risk assessment tool for nocturnal hypoglycemia. Hospital staff will monitor data and contact participants by telephone as needed. The usual care group will use blinded devices and will not have their data monitored during the trial. Participants will attend in-person visits at the trial site and have their glucose and insulin data closely monitored by hospital staff throughout the three-month trial. Assessments include continuous glucose monitoring metrics such as time in range, hypoglycemia and hyperglycemia episodes, HbA1c levels, insulin use, weight, quality of life measures, and treatment satisfaction. Researchers will track device usage and treatment adherence, while safety and overall health will be monitored during the study period ending in September 2026.

CONDITIONS

Brief Title

The Intelligent Diabetes TelemonitoRing Using Decision Support to Treat Patients on Insulin Therapy

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults 18 years or older
  • Diagnosed with type 2 diabetes for at least 12 months before screening
  • Currently treated with insulin or about to start insulin treatment
  • Willing and able to travel to trial site for in-person visits
  • Have internet access at home, have MitID, and willing to use a smartphone and trial devices
  • Able to understand and read Danish
  • Signed informed consent
Not Eligible

You will not qualify if you...

  • Pregnancy or breastfeeding
  • Planned major surgery during the trial period
  • Cancer diagnosis within five years before inclusion
  • Participation in other interventional trials
  • Limited literacy affecting use of trial devices
  • Worn a continuous glucose monitor less than 6 months before the trial
  • Deemed unfit for the trial by investigator due to understanding or physical/cognitive ability
  • Treatment with mixed insulin

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 3 months

Participants will be assigned to one of three groups: intelligent telemonitoring, telemonitoring alone, or usual care. Those in the telemonitoring groups will use a continuous glucose monitor (CGM), insulin pen, activity tracker, and smartphone application throughout the three-month trial period. Hospital staff will monitor data and contact participants by telephone as needed. Participants in the intelligent telemonitoring group will receive additional decision support and risk assessments through a smartphone app. Participants in the usual care group will use blinded CGM and insulin pen devices without monitoring.

Regular telephone contacts and in-person visits as needed

Trial Site Locations

Total: 1 location

1

Department of Endocrinology

Aalborg, North Jutland, Denmark, 9000

Actively Recruiting

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Research Team

J

Jannie Nørlev, PhD

S

Stine Hangaard, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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Published Research Related To This Trial

The intelligent diabetes telemonitoring using decision support to treat patients on insulin therapy (DiaTRUST) trial: study protocol for a randomized controlled trial.

Camilla H N Thomsen, Jannie T D Nørlev, Stine Hangaard...

https://pubmed.ncbi.nlm.nih.gov/39511648