Clinical Trials Directory

Trials / Unknown

UnknownNCT02742701

Diabetes and Palliative Care

Comparison of Glycosuria and Capillary Blood Glucose in Hospitalised Diabetic Patients

Status
Unknown
Phase
Study type
Observational
Enrollment
180 (estimated)
Sponsor
Maison Médicale Jeanne Garnier · Academic / Other
Sex
All
Age
18 Years
Healthy volunteers
Not accepted

Summary

Diabetes prevalence in palliative care is 10-15%. Most hospice patients are treated with insulin. The target glucose level is high in order to decrease the risk of hypoglycemia. Glucose level is usually monitored using capillary blood glucose once to three times daily. The aim of the research is to simplify this pattern of care in end-of-life patients. It will evaluate whether the non invasive measurement of glucose in urine could replace the measurement of capillary blood glucose. The first objective will be to assess the performance of the measurement of glucosuria using urinary dip stix to predict that the blood glucose level is within the target range. Due to the high glucose target, hyperglycemia is extremely frequent. However, symptoms of hyperglycemia are unfrequently reported. They may be unspecific and/or masked in end-of-life patients due to terminal disease and medication. The second objective of the study will be to define symptoms of hyperglycemia in these patients.

Detailed description

This is a prospective study involving several palliative care units in France. Glycemia and glycosuria will be measured in the same patients. Symptoms that could be related to hyperglycemia will be assessed in relation with the concomitant blood glucose level. Main investigations : Glycosuria and cetonuria will be measured using a dip stix during each nursing care. Glycemia will be measured before breakfast and before diner. Pain caused by finger pricking for the measurement of glycemia will be evaluated using a verbal scale. Symptoms will be evaluated at the time of each glucose measurement first with open questions then with a list of potential symptoms of hyperglycemia.

Conditions

Interventions

TypeNameDescription
OTHERdiagnosisMeasurement of glycosuria

Timeline

Start date
2016-04-01
Primary completion
2017-10-01
Completion
2018-01-01
First posted
2016-04-19
Last updated
2016-04-19

Source: ClinicalTrials.gov record NCT02742701. Inclusion in this directory is not an endorsement.