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Basal Insulin in the Management of Patients With Diabetic Ketoacidosis (DKA)
This study has been completed.
Study NCT00590044   Information provided by Emory University

First Received on December 28, 2007.   Last Updated on May 18, 2009   History of Changes
Results First Received: January 30, 2009  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Safety/Efficacy Study;   Intervention Model: Parallel Assignment;   Masking: Open Label;   Primary Purpose: Treatment
Condition: Diabetic Ketoacidosis
Interventions: Drug: insulin glargine+ glulisine
Drug: NPH + Regular insulin

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
No text entered.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
No text entered.

Reporting Groups
  Description
1 Daily insulin glargine (Lantus) + glulisine (Apidra) before meals
2 Split-mixed NPH + Regular insulin twice daily

Participant Flow:   Overall Study
    1     2  
STARTED     38     36  
COMPLETED     34     34  
NOT COMPLETED     4     2  
Withdrawal by Subject                 2                 2  
wrong insulin arm assigned                 1                 0  
Protocol Violation                 1                 0  



  Baseline Characteristics
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Reporting Groups
  Description
1 Daily insulin glargine (Lantus) + glulisine (Apidra) before meals
2 Split-mixed NPH + Regular insulin twice daily

Baseline Measures
    1     2     Total  
Number of Participants  
[units: participants]
  38     36     74  
Age  
[units: participants]
     
<=18 years     0     0     0  
Between 18 and 65 years     38     36     74  
>=65 years     0     0     0  
Age  
[units: years]
Mean ± Standard Deviation
  39  ± 12     38  ± 12     38.5  ± 12  
Gender  
[units: participants]
     
Female     14     12     26  
Male     24     24     48  
Region of Enrollment  
[units: participants]
     
United States     38     36     74  



  Outcome Measures

1.  Primary:   Mean Daily Blood Glucose Concentration After the Resolution of DKA   [ Time Frame: 1 year ]

2.  Secondary:   Mean Daily Blood Glucose Concentration While on the Insulin Drip   [ Time Frame: blood glucose (BG) before meals and at bedtime ]
Results not yet posted.   Anticipated Posting Date:   No text entered.   Safety Issue:   No

3.  Secondary:   Frequency of Hypoglycemia   [ Time Frame: blood glucose (BG) before meals, at bedtime and as needed ]
Results not yet posted.   Anticipated Posting Date:   No text entered.   Safety Issue:   Yes

4.  Secondary:   Frequency of Hyperglycemia   [ Time Frame: blood glucose (BG) before meals, at bedtime and as needed ]
Results not yet posted.   Anticipated Posting Date:   No text entered.   Safety Issue:   Yes


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
No text entered.  


Results Point of Contact:  
Name/Title: Guillermo Umpierrez
Organization: Emory University SOM
phone: 4047781663
e-mail: geumpie@emory.edu


No publications provided


Responsible Party: Guillermo Umpierrez, MD/Principal Investigator, Emory Univ SOM
ClinicalTrials.gov Identifier: NCT00590044     History of Changes
Other Study ID Numbers: 790-2006
Study First Received: December 28, 2007
Results First Received: January 30, 2009
Last Updated: May 18, 2009
Health Authority: United States: Institutional Review Board