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Trial registered on ANZCTR
Registration number
ACTRN12616000861459
Ethics application status
Approved
Date submitted
1/06/2016
Date registered
30/06/2016
Date last updated
5/10/2024
Date data sharing statement initially provided
20/10/2021
Date results provided
20/10/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Quantity of IV insulin required to keep blood glucose levels within target range after a high protein/high fat meal.
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Scientific title
Insulin requirements to maintain post-prandial euglycaemia following consumption of a high protein/high fat meal
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Secondary ID [1]
289336
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Nil known
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Universal Trial Number (UTN)
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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
Inflammatory and Immune System
299023
299023
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0
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Autoimmune diseases
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Metabolic and Endocrine
299024
299024
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention involves the provision of a meal high in both protein and fat. The high protein/high fat meal contains 30grams of carbohydrate, 60g protein and 40g of fat. There is a minimum of 1 week between the intervention and control meal. From the commencement of meal consumption, IV insulin will be titrated in response to the glucose excursions to keep BGL at a target of 5.5mmol.
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Intervention code [1]
294897
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Treatment: Other
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Comparator / control treatment
The control is the provision of a meal low in protein and fat. The meal contains 30grams of carbohydrate, 5g protein and 5g of fat.
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Control group
Active
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Outcomes
Primary outcome [1]
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The total amount of IV insulin (units) titrated to maintain blood glcose levels at 5.5mmol/L after a high fat/high protein meal compared to a control meal.
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Assessment method [1]
298487
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Timepoint [1]
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5 hours after the commencement of the test meal
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Secondary outcome [1]
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The change in serum assay levels of gastrointestinal hormones on consumption of high fat/high protein meal compared to control meal.
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Assessment method [1]
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Timepoint [1]
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15- 60 minute intervals from 30 minutes prior to the consumption of the test meal up until 5 hours after the commencement of the test meal.
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Eligibility
Key inclusion criteria
Type 1 diabetes > 1 year
HbA1c < /= 8%
Intesive insulin therapy > 6 months
BMI < /= 97th percentile
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Minimum age
12
Years
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Maximum age
21
Years
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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
pre-existing diabetes complications
co-existing medical conditions
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
6/07/2016
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Actual
25/07/2016
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Date of last participant enrolment
Anticipated
31/12/2016
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Actual
3/07/2017
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Date of last data collection
Anticipated
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Actual
17/07/2017
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Sample size
Target
13
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Accrual to date
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Final
11
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Recruitment in Australia
Recruitment state(s)
NSW,WA
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Recruitment hospital [1]
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Princess Margaret Hospital - Subiaco
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Recruitment hospital [2]
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John Hunter Children's Hospital - New Lambton
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Recruitment postcode(s) [1]
13310
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6008 - Subiaco
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Recruitment postcode(s) [2]
13311
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2305 - New Lambton
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Juvenile Diabetes Research Fund
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Address [1]
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Perth
Unit 3
181 Main Street
Osborne Park WA 6017
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Princess Margaret Hospital
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Address
Roberts Rd, Subiaco WA 6008
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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John Hunter Children's Hospital
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Address [1]
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Lookout Road, New Lambton NSW 2305
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Country [1]
292546
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
295168
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Princess Margaret Hospital Human Research Ethics Committee
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Ethics committee address [1]
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Roberts Road, Subiaco WA 6008
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Ethics committee country [1]
295168
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Australia
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Date submitted for ethics approval [1]
295168
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01/04/2016
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Approval date [1]
295168
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21/04/2016
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Ethics approval number [1]
295168
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2016049EP
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Ethics committee name [2]
295169
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The University of Newcastle Human Research Ethics Committee
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Ethics committee address [2]
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University Dr, Callaghan NSW 2308
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
295169
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20/04/2016
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Approval date [2]
295169
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08/06/2016
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Ethics approval number [2]
295169
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16/05/18/4.02
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Summary
Brief summary
Clinical experience and reports from families of children with type 1 diabetes has long suggested that meals high in protein and/or fat cause an increase in blood glucose levels after eating. Increased blood glucose levels, including after consumption of food, is well-known to add to long term health complications in type 1 diabetes. Current type 1 diabetes management guidelines recommend adjusting insulin doses for food based on the amount of carbohydrate to be eaten at each meal. However, there has been an increase in evidence, including that from a lanmark study by our study group, to suggest that other nutrients such as fat and protein should be considered when calculating pre meal insulin. High levels of protein and/or fat in a meal cause a larger than expected rise in blood glucose levels after eating and these high blood glucose levels persist, suggesting the need for extra insulin. This research project will compare the insulin required to maintain blood glucose levels within target range when consuming two meals, one high in protein and fat and the other low in protein and fat, both with the same carbohydrate content. This will be determined by looking at the difference in intra venous insulin requirements after both meals. IV insulin will be given to participants to maintain blood glucose levels at a constant level whilst they are eating the meal and in the 5 hours following. Thirteen participants will consume both test meals, one week apart. The different insulin amounts needed to maintain blood glucose levels after each test meal will provide accurate calculation of the expected increase in insulin requirements on consumption of a high protein/high fat meal. This study will provide important information in the management of type 1 diabetes in both adults and children. This information will be used immediately in our day to day management of patients and will guide the development of clinical guidelines to minimize the rise in blood glucose levels after eating.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Elizabeth Davis
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Address
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Princess Margaret Hospital
Diabetes and Endocrinology Department
GPO Box D184
perth
WA
6840
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Country
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Australia
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Phone
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+61 0864561111
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
66299
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Elizabeth Davis
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Address
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Princess Margaret Hospital
Diabetes and Endocrinology Department
GPO Box D184
Perth
WA
6840
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Country
66299
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Australia
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Phone
66299
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+61864561111
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Fax
66299
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Email
66299
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[email protected]
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Contact person for scientific queries
Name
66300
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Elizabeth Davis
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Address
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Princess Margaret Hospital
Diabetes and Endocrinology Department
GPO Box D184
Perth
WA
6840
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Country
66300
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Australia
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Phone
66300
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+61864561111
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Fax
66300
0
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Email
66300
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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
No additional documents have been identified.
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