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Trial registered on ANZCTR
Registration number
ACTRN12613001162707
Ethics application status
Approved
Date submitted
10/10/2013
Date registered
21/10/2013
Date last updated
11/02/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of prandial status on capillary - venous glucose gradient in type 1 diabetes
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Scientific title
Effect of prandial status on [capillary-venous] glucose difference, in participants with well controlled type 1 diabetes
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Secondary ID [1]
283326
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none
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Universal Trial Number (UTN)
U1111-1148-9772
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 1 diabetes
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Condition category
Condition code
Metabolic and Endocrine
290610
290610
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0
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Diabetes
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Capillary and venous glucose responses will be measured one hour and two hours after a buffet breakfast, the content of which is selected by participants. Total period of observation is two hours.
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Intervention code [1]
288051
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Not applicable
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Comparator / control treatment
Within participant comparison of basal (fasting) [capillary-venous] glucose gradient, with the post prandial [capillary-venous] glucose gradient.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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[Capillary -venous] glucose gradient, at the two hour post prandial time point. Duplicate capillary and venous glucose measurements will be assessed using two meter/strip systems with differing enzyme systems, namely the Nova StatStrip and the Accu-chek Performa. Venous plasma glucose will also undergo rapid plasma separation using a PST tube, followed by laboratory measurement using the hexakinase method and this venous value will be used as an ancillary measure of [capillary-venous] difference.
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Assessment method [1]
290625
0
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Timepoint [1]
290625
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Two hours
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Secondary outcome [1]
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[Capillary -venous] glucose gradient, at the one hour post prandial time point. Assessment of glucose is otherwise identical to that of the primary outcome (StatStrip and Performa glucose meters used to measure both capillary and venous samples,with a further check of venous glucose, undertaken by measuring plasma glucose in the laboratory).
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Assessment method [1]
304926
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Timepoint [1]
304926
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One hour
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Eligibility
Key inclusion criteria
Type 1 diabetes, HbA1c <65mol/mol, on CSII or MDI insulin, ability to estimate insulin:carbohydrate ratio
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pregnancy
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Previous studies in healthy volunteers suggest that a minimum number to detect a significant [capillary - venous] glucose gradient is around 12 participants. It is anticipated that this gradient will be attenuated in the present of diabetes, hence the larger number of participants. The primary outcome is descriptive, however if a gradient is found, this will be correlated with a) breakfast insulin dose (u/kg) b) macronutrient intake of meal (breakfast) c) baseline glucose and d) percentage body fat.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
11/11/2013
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Actual
18/11/2013
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Date of last participant enrolment
Anticipated
2/03/2014
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Actual
15/03/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
43
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Recruitment outside Australia
Country [1]
5452
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New Zealand
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State/province [1]
5452
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Canterbury
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Funding & Sponsors
Funding source category [1]
288063
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Charities/Societies/Foundations
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Name [1]
288063
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Diabetes Christchurch
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Address [1]
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550 Hagley Ave
Riccarton
Christchurch 8001
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Country [1]
288063
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New Zealand
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Primary sponsor type
Individual
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Name
Dr Helen Lunt
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Address
Diabetes Centre, Canterbury District Health Board
550 Hagley Ave
Riccarton
Christchurch 8001
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Country
New Zealand
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Secondary sponsor category [1]
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University
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Name [1]
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University of Otago Christchurch
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Address [1]
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2 Riccarton Ave
Christchurch Central
Christchurch 8011
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Country [1]
286832
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
290034
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Health and Disability Ethics Committee
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Ethics committee address [1]
290034
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Ministry of Health No 1 The Terrace Wellington Central Wellington 6011
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Ethics committee country [1]
290034
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New Zealand
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Date submitted for ethics approval [1]
290034
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09/10/2013
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Approval date [1]
290034
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30/10/2013
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Ethics approval number [1]
290034
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13/STH/148
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Summary
Brief summary
In healthy volunteers, tissue uptake of glucose after a meal results in a glucose gradient between the capillary blood at the finger and venous blood at the level of the antecubital fossa. We hypothesise that a similar [capillary-glucose] gradient exists in type 1 diabetes patients. If it does, this has implications for calibration of continuous glucose monitors. It also has implications when considering capillary and venous samples to be bio-equivalent when defining hypoglycaemic events, for example during pharmaceutical trials in participants with type 1 diabetes.
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Trial website
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Trial related presentations / publications
I. Lee, H. Lunt, H. Chan, H. Heenan, J. Berkeley, C. M. A. Frampton. Postprandial capillary–venous glucose gradient in Type 1 diabetes: magnitude and clinical associations in a real world setting. Diabet Med 2015. DOI: 10.1111/dme.13025
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Public notes
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Contacts
Principal investigator
Name
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Dr Helen Lunt
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Address
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Diabetes Centre
550 Hagley Ave
Riccarton
Christchurch 8001
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Country
43378
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New Zealand
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Phone
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+64 3 3640860
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Fax
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+64 3 3640171
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Email
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[email protected]
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Contact person for public queries
Name
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Helen Lunt
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Address
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Diabetes Centre
550 Hagley Ave
Riccarton
Christchurch 8001
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Country
43379
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New Zealand
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Phone
43379
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+64 3 3640860
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Fax
43379
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+64 3 3640171
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Email
43379
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[email protected]
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Contact person for scientific queries
Name
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Helen Lunt
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Address
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Diabetes Centre
550 Hagley Ave
Riccarton
Christchurch 8001
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Country
43380
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New Zealand
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Phone
43380
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+64 3 3640860
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Fax
43380
0
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Email
43380
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Postprandial capillary-venous glucose gradient in Type 1 diabetes: magnitude and clinical associations in a real world setting.
2016
https://dx.doi.org/10.1111/dme.13025
N.B. These documents automatically identified may not have been verified by the study sponsor.
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