Lunch Time Insulin Injection by School Nurse for Poorly Controlled Diabetes
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Purpose
We hypothesize that checking blood sugar and taking long and short acting insulin before lunch at school may improve overall blood sugar control, grades, and decreases school absences in children and teens with poorly controlled T1DM.
| Condition | Intervention | Phase |
|---|---|---|
|
Type 1 Diabetes |
Drug: glargine insulin |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A School Intervention: Lunch Time Insulin Injections in Children With Poorly Controlled Type 1 Diabetes |
- Hemoglobin A1c [ Time Frame: At the start of the study and again in 3 months ]
- Urine microalbumin [ Time Frame: At the beginning and the end of the study ]
| Enrollment: | 36 |
| Study Start Date: | June 2006 |
| Study Completion Date: | June 2007 |
The Diabetes Control and Complications Trial (DCCT), for type 1Diabetes (T1DM), showed the importance of intensified diabetes control in helping reduce complications associated with poorly controlled diabetes. However, adolescents with T1DM continue to be a high-risk population due to the difficulties in coping with the physical, emotional, and social demands associated with managing diabetes themselves.
We propose to use the school nurse to help with lunchtime blood sugar monitoring (BSM) and with a lunchtime insulin injection. We want to see if this will improve blood sugar control, improve school grades, and decrease absences from school in adolescents with poorly controlled diabetes. Subjects will receive 12 weeks of this treatment to see if they will have improved glucose control. We hope to improve blood sugar control, school grades and decrease absences from school in teens with poorly controlled diabetes.
Eligibility| Ages Eligible for Study: | 10 Years to 19 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Child with T1DM for at least 1 year
- Age 10-19 years
- Have a Hgb A1C greater than or equal to 9.0% but less than or equal 13.9% for at least 6 months.
- School must have a school nurse
Exclusion Criteria:
- Child who has Type 2 diabetes
- Subject receiving home schooling
Contacts and Locations| United States, Texas | |
| Texas Children's Diabetes Center | |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: | Rubina A Heptulla, MD | Baylor College of Medicine |
More Information
No publications provided by Baylor College of Medicine
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00340613 History of Changes |
| Other Study ID Numbers: | H-16630 |
| Study First Received: | June 19, 2006 |
| Last Updated: | July 16, 2008 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Baylor College of Medicine:
|
Type 1 Diabetes Poorly controlled glucose adolescents |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 1 Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Autoimmune Diseases |
Immune System Diseases Glargine Insulin Hypoglycemic Agents Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 17, 2013