Status:

UNKNOWN

Do Sulphonylureas Preserve Cortical Function During Hypoglycaemia?

Lead Sponsor:

King's College Hospital NHS Trust

Conditions:

Type 1 Diabetes Mellitus

Eligibility:

All Genders

18-75 years

Phase:

PHASE4

Brief Summary

To see if using medication called sulphonylureas can help improve symptoms which patients rely on to recognise low blood glucose levels ( hypoglycaemia) and also to see if they can reduce the slowing ...

Detailed Description

Low blood glucose (hypoglycaemia) is the most common and important side effect of insulin treatment for diabetes. Most episodes are "mild" and lead to symptoms that alert the individual to raise their...

Eligibility Criteria

Inclusion

  • Age 18-75
  • Type 1 diabetes (WHO definition) of at least 5 years duration
  • History of impaired awareness of hypoglycaemia (capillary glucose readings \< 3.5mmol/l without symptoms on \> 3 occasions in the past 3 months (those with intact symptoms will be unlikely to show an improvement and would not really benefit from taking any medication intended just to increase symptoms)

Exclusion

  • Pregnancy
  • Severe systemic illness
  • Active malignancy
  • Severe complications of diabetes such as severe visual impairment, severe renal impairment, severe symptomatic autonomic neuropathy
  • Untreated ischemic heart disease, recent stroke
  • Lactose intolerance ( the placebo will contain lactose)
  • Very poor diabetes control (HbA1c \> 10%) Liver disease ( increase in ALT / AST \> 3x ULN)
  • Chronic Kidney Disease stage 4 or 5 ( eGFR \< 30ml/min)
  • Severe untreated thyroid or adrenal insufficiency ( must be treated and on stable doses for at least 6 weeks)

Key Trial Info

Start Date :

May 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT00472875

Start Date

May 1 2007

Last Update

May 14 2007

Active Locations (1)

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1

King's College Hospital NHS Foundation Trust

London, United Kingdom, SE5 9RS