Evaluation of Interests of FIT Therapy on Diabetics Children Insulin-dependent (DIABFIT)
Evaluation of Interests of the Functional Insulin Therapy (FIT Therapy) on Metabolic Control, Hypoglycemia Prevention and Life Quality of Diabetics Children Insulin-dependent Treated With Insulin Pump.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Régis Coutant, MD PhD
- Phone Number: 33(2)41-35-56-55
- Email: ReCoutant@chu-angers.fr
Study Contact Backup
- Name: Natacha Bouhours-Nouet, MD
- Phone Number: 33(2)41-35-44-06
- Email: NaBouhours-Nouet@chu-angers.fr
Study Locations
-
-
Bretagne
-
Brest, Bretagne, France, 29200
- University Hospital of Brest
-
-
Midi-Pyrénées
-
Toulouse, Midi-Pyrénées, France, 31059
- University Hospital of Toulouse
-
-
Pays de Loire
-
Angers, Pays de Loire, France, 49933
- University Hospital of Angers Service of Pediatric Diabetology and Endocrinology
-
Nantes, Pays de Loire, France, 44093
- University Hospital of Nantes
-
-
Rhône Alpes
-
Lyon, Rhône Alpes, France, 69000
- University Hospital of Lyon
-
-
Région Centre
-
Tours, Région Centre, France, 37000
- University hospital of Tours
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- aged 1-17 years
- diabetic for at least 1 year
- whose HbA1c is between 7.6 and 10% (7.6% <HbA1C <10%)
- treated with insulin pump
- agreeing to perform at least three blood glucose/day
- willing to follow the treatment with functional insulin therapy if necessary
Exclusion Criteria:
- Ages <1 year or> 17 years
- Duration of diabetes <1 year
- HbA1c <7.6% or HbA1c> 10%
- Treatment-by multiple injections
- Mental disability
- Refusal to adhere to the constraints of the study
- Language barrier, preventing any understanding or cooperation
- Eating behavior-type anorexia or bulimia
- Pregnancy
- Use of alcohol or drugs
- Severe chronic or genetic pathology other than diabetes
- Participation in another clinical study or refusal to participate in the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: FIT Therapy
Patient with functional insulin therapy
|
Specific program for FIT Therapy and specific program for traditional way
Other Names:
|
|
Active Comparator: Traditional way
Patient with traditional way
|
Specific program for FIT Therapy and specific program for traditional way
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Variation in HbA1c
Time Frame: One year
|
Variation in HbA1c from baseline in the study (M0) and 1 year later the beginning of the program (M12) for assess the importance of the FIT Therapy to improve metabolic control of children with diabetes mellitus treated with subcutaneous insulin pump.
|
One year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Severe hypoglycemia over 6 months and quality of life
Time Frame: One year and six months
|
Number of severe hypoglycemia over 6 months (M6 to M12 and evolution of quality of life assessed by validated questionnaries in children with diabetes (WHO questionnary items 5, 27 KIDSCREEN questionnary, DISABKID questionnary).
|
One year and six months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Régis Coutant, MD PhD, UH Angers
Publications and helpful links
General Publications
- Langewitz W, Wossmer B, Iseli J, Berger W. Psychological and metabolic improvement after an outpatient teaching program for functional intensified insulin therapy (FIT). Diabetes Res Clin Pract. 1997 Sep;37(3):157-64. doi: 10.1016/s0168-8227(97)00071-5.
- Hartemann-Heurtier A, Sachon C, Masseboeuf N, Corset E, Grimaldi A. Functional intensified insulin therapy with short-acting insulin analog: effects on HbA1c and frequency of severe hypoglycemia. An observational cohort study. Diabetes Metab. 2003 Feb;29(1):53-7. doi: 10.1016/s1262-3636(07)70007-1.
- Samann A, Muhlhauser I, Bender R, Kloos Ch, Muller UA. Glycaemic control and severe hypoglycaemia following training in flexible, intensive insulin therapy to enable dietary freedom in people with type 1 diabetes: a prospective implementation study. Diabetologia. 2005 Oct;48(10):1965-70. doi: 10.1007/s00125-005-1905-1. Epub 2005 Aug 18.
- Lowe J, Linjawi S, Mensch M, James K, Attia J. Flexible eating and flexible insulin dosing in patients with diabetes: Results of an intensive self-management course. Diabetes Res Clin Pract. 2008 Jun;80(3):439-43. doi: 10.1016/j.diabres.2008.02.003. Epub 2008 Mar 18.
- Grimm JJ, Ybarra J, Berne C, Muchnick S, Golay A. A new table for prevention of hypoglycaemia during physical activity in type 1 diabetic patients. Diabetes Metab. 2004 Nov;30(5):465-70. doi: 10.1016/s1262-3636(07)70144-1.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PHRC 2009- 03
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