evaluation of the eversense continuous glucose monitoring system in type i diabetic youth

Conditions: Self Care

Summary: the purpose of this clinical investigation is to provide pilot clinical data to direct pivotal study development for the pediatric indication of the senseonics continuous glucose monitoring system (cgm) measurements when compared with finger stick blood glucose monitoring in an outpatient setting. (the investigation will also evaluate safety of the senseonics cgm system usage, get feedback regarding subject and caregiver acceptability of the device and the mobile medical application (mma).

this is a non-randomized, non-blinded, prospective, single-arm, single-center pilot study, enrolling up to 15 pediatric subjects in two cohorts (5 subjects age 6-12 and 10 subjects age 13-17) with diabetes mellitus for up to 180 days. study will evaluate the system at home with comparison to smbg with clinic check visits and downloading of stored data every 30 days. subjects will have one sensor inserted subcutaneous by trained investigators. the system will be set to provide real-time glucose information, including alarms and alerts in the home settings. the system is for adjunctive use. all diabetes care decisions will be based on smbg values rather than system cgm results.

Eligibility criteria:
inclusion criteria: 1. pediatric subjects ≥6 and \< 18 years with type 1 diabetes 2. hba1c \< 11 % at screening 3. subject/legal guardian has signed an informed consent form before any study related activities and is willing to comply with protocol requirements 4. clinically confirmed diagnosis of diabetes mellitus for ≥ 1 year 5. pretreated with csii or ict with a minimum duration of 3 month 6. patient and parents are physically and mental able to exercise as determined the "eversense" system 7. patient must be willing to document every diabetes relevant information (meals, carbs, physical activity, extraordinary stress,...) 8. patient is willing to follow protocol and procedures for study 9. patient has the possibility to use a smartphone which is compatible with the system in daily life exclusion criteria: 1. patients are unwilling to follow the study procedures 2. patient is absent for a longer time (no possibility for visits) 3. patient is unable to tolerate tape adhesive in the area of sensor placement 4. patient has any unresolved adverse skin condition in the area of sensor placement (e.g. atopic dermatitis, psoriasis, rash,...) 5. patient is allergic to components of sensor material (polymethylmethacrylate, dexamethasone, local anesthesia) 6. eating disorder: e.g. bulimia, anorexia 7. infections with hepatitis b, c or hiv 8. coagulation disorder, wound healing disorder 9. pregnancy 10. mental incapacity or psychiatric disorders (major depression, anxiety disorders, schizophrenia) 11. language barriers 12. medication which is influencing metabolic control as systemic steroids, other non-routine hormones 13. medication influencing coagulation as marcumar or systemic xa-antagonists as well as known bleeding disorders 14. people known to m. addison 15. untreated coeliac disease (transglutaminase at screening elevated 2x\>upper limit) 16. severe diseases as cancer, heart failure, m. parkinson, diabetic nephropathy or neuropathy or cardiomyopathy 17. severe hypoglycemia in the past 3 months (defined as seizure or loss of consciousness) 18. alcohol or drug abuse other than nicotine 19. precluding adequate understanding or cooperation 20. a condition requiring or likely to require magnetic resonance imaging (mri) during the study duration. 21. any condition that in the investigator's opinion would make the subject unable to complete the study 22. participation in another clinical investigation within 30 days or intent to participate during the study period 23. patients with diabetes mellitus type 2.

Keywords: type 1 diabetes pediatrics blood sugar devices