accuracy, reliability and safety of glucomen®day, a new generation microdialysis continuous glucose monitor

Conditions: Type 1 Diabetes

Summary: monocenter single-arm, prospective clinical study in 20 type 1 diabetic subjects, equipped with the glucomen®day system, over up to 100 hours observation after implantation of the microdialysis probe. different meal/hypo procedures will be performed at the study centre.

this is a monocenter single-arm, prospective clinical study in 20 type 1 diabetic subjects, who will be equipped with the glucomen®day system. each subject will be investigated for up to 100 hours after implantation of the microdialysis probe. in order to verify the clinical effectiveness of the glucomenday the subjects will be asked to perform a total of six self testing measurements per day using the glucocard g-meter according to the following scheme: * before breakfast * before lunch * 60-120 minutes after lunch * before dinner * 60-120 minutes after dinner * at 3 am subjects will be asked to come to the research facility every day to obtain a venous blood sample and to check system functioning. subjects will be randomized either to procedure a - multiple sampling or procedure b - meal/insulin test. procedure a - multiple sampling: this procedure can be performed at days 2-4 of the study period. subjects will receive a standardized lunch (100 g of cho), administration of insulin will be performed by the subject based on insulin to carbohydrate ratio. an intravenous catheter will be inserted in one forearm and venous sampling will start 1 hour after lunch ingestion. arterialized-venous blood sampling will be performed every 15 minutes for a period of two hours. samples will be analyzed for glucose using the super gl; concomitantly capillary measurements using the glucocard g meter will be performed. procedure b - meal/insulin test: this procedure will be performed on days 2 and four of the experiment. subjects randomized to procedure b will be asked to undergo this investigation twice. subjects will receive a standard breakfast (75g cho), the usual morning insulin dose will be post-poned. an increased dose of rapid-acting insulin analogue aiming to produce minor hypoglycaemia based on insulin to carbohydrate ratio will be injected subcutaneously. arterialized-venous sampling will be performed every 10 minutes for a period of two hours. samples will be analyzed for glucose using the super gl; concomitantly, capillary measurements using the glucocard g meter will be performed. on day 5 subjects will return to the clinical trial unit for collection of a final blood sample and removal of the device. subjects will be asked to come to the research facility at 48 and 72 hours after removal of the device for an evaluation of local site reactions.

Eligibility criteria:
inclusion criteria: * established diagnosis of type-1-diabetes * ability to provide informed consent * age 18-75 years exclusion criteria: * subjects under anti-coagulant treatments * alcoholism * body mass index (bmi) \> 32 kg/m2 * inability to adhere to the protocol or to attend the required follow- up visits and tests * diseases or conditions of the abdominal wall which, in the opinion of clinician might contraindicate the insertion of the hypodermic needle into the subcutaneous tissue * legal incapacity and/or other circumstances rendering the subject unable to understand the nature, scope and possible consequences of the study * any serious medical conditions or disability, which in the opinion of the investigator, would interfere with treatment or assessment or preclude completion of the study * subjects currently participating in a clinical study * pregnancy or breastfeeding

Keywords: continuous subcutaneous glucose monitoring type 1 diabetes