A Survey on Low Blod Sugar Among Insulin-treated Patients With Diabetes
An International Survey on Hypoglycaemia Among Insulin-treated Patients With Diabetes
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Dhaka, Bangladesh, 1000
- Novo Nordisk Investigational Site
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Bogotá, Colombia, 1
- Novo Nordisk Investigational Site
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Cairo, Egypt
- Novo Nordisk Investigational Site
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Manilla, Philippines, 1605
- Novo Nordisk Investigational Site
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Singapore, Singapore, 169608
- Novo Nordisk Investigational Site
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Pretoria, South Africa, 2
- Novo Nordisk Investigational Site
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Ankara, Turkey, 06100
- Novo Nordisk Investigational Site
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Ajman, United Arab Emirates, 21499
- Novo Nordisk Investigational Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Informed consent obtained before any trial-related activities
- Patient with T1DM or T2DM treated with insulin for more than 12 months
- Male or female patient at least 18 years of age at the time of inclusion in the study
Exclusion Criteria:
- Previous participation in this study
- Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation
- Illiterate patients and patients otherwise unable to sign the Informed Consent or complete a written survey
- Non-ambulatory patients
- Simultaneous participation in any other clinical study with an investigational product
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
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SAQ-Self-Assessment Questionnaire
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This study comprises of a two-part SAQ (Self-Assessment Questionnaire).
Paired responses to SAQ1 and SAQ2 will be used to estimate the differences in the frequency of hypoglycaemic episodes between the retrospective and prospective periods.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
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The percentage of patients who experience at least 1 hypoglycaemic episode
Time Frame: During the 4-week prospective observational period
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During the 4-week prospective observational period
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
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Incidence of any hypoglycaemic episodes
Time Frame: In the 4 weeks before and 4 weeks after the baseline (day 1)
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In the 4 weeks before and 4 weeks after the baseline (day 1)
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Incidence of hypoglycaemic episodes requiring hospital admission
Time Frame: In the 6 months before and 4 weeks after the baseline (day 1)
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In the 6 months before and 4 weeks after the baseline (day 1)
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Incidence of severe hypoglycaemic episodes
Time Frame: In the 6 months before and 4 weeks after the baseline (day 1)
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In the 6 months before and 4 weeks after the baseline (day 1)
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Incidence of non-severe hypoglycaemic episodes
Time Frame: In the 4 weeks before and 4 weeks after the baseline (day 1)
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In the 4 weeks before and 4 weeks after the baseline (day 1)
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Incidence of documented symptomatic hypoglycaemic episodes
Time Frame: In the 4 weeks after the baseline visit (day 1)
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In the 4 weeks after the baseline visit (day 1)
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Incidence of all hypoglycaemic episodes associated with a blood glucose measurement below 3.1 mmol/L (56 mg/dl) irrespective of symptoms
Time Frame: In the 4 weeks following the baseline visit (day 1)
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In the 4 weeks following the baseline visit (day 1)
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Incidence of hypoglycaemic episodes
Time Frame: Between midnight and 6 a.m. in the 4 weeks before and 4 weeks after the baseline visit (day 1)
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Between midnight and 6 a.m. in the 4 weeks before and 4 weeks after the baseline visit (day 1)
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Incidence of probable symptomatic hypoglycaemia
Time Frame: In the 4 weeks following the baseline visit (day 1)
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In the 4 weeks following the baseline visit (day 1)
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Frequency of blood glucose monitoring
Time Frame: Over 1 day
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Over 1 day
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Patient reported fear of hypoglycaemia
Time Frame: Over one day
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Over one day
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Patient reported recovery times
Time Frame: One day
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One day
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Proportion of patients consulting a doctor
Time Frame: Over one day
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Over one day
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Proportion of patients increasing calorie intake
Time Frame: Over one day
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Over one day
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Proportion of patients avoiding physical exercise
Time Frame: Over one day
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Over one day
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Proportion of patients reducing or skipping insulin dose
Time Frame: Over one day
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Over one day
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Proportion of patients increasing the number of blood glucose monitoring as a result of fear of hypoglycaemia or hypoglycaemic episodes
Time Frame: Over one day
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Over one day
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Proportion of patients taking any sick leave, sick days or short days as a result of hypoglycaemic episodes
Time Frame: Over one day
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Over one day
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DSQOLS (Diabetes-Specific Quality-of-Life Scale) scores
Time Frame: Over last 4 weeks
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Over last 4 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Pathan F, Goh SY, Rudijanto A, Gadekar A, Jain A, Nicodemus N Jr. Hypoglycaemia among Insulin-Treated Patients with Diabetes: Southeast Asia Cohort of IO HAT Study. J ASEAN Fed Endocr Soc. 2018;33(1):28-36. doi: 10.15605/jafes.033.01.05. Epub 2018 Apr 4.
- Emral R, Pathan F, Cortes CAY, El-Hefnawy MH, Goh SY, Gomez AM, Murphy A, Abusnana S, Rudijanto A, Jain A, Ma Z, Mirasol R; IO HAT Investigator Group. Self-reported hypoglycemia in insulin-treated patients with diabetes: Results from an international survey on 7289 patients from nine countries. Diabetes Res Clin Pract. 2017 Dec;134:17-28. doi: 10.1016/j.diabres.2017.07.031. Epub 2017 Aug 9.
- Emral R, Tetiker T, Sahin I, Sari R, Kaya A, Yetkin I, Cil SU, Tutuncu NB; IO HAT investigator group. An international survey on hypoglycemia among insulin-treated type I and type II diabetes patients: Turkey cohort of the non-interventional IO HAT study. BMC Endocr Disord. 2018 Feb 13;18(1):9. doi: 10.1186/s12902-018-0238-2.
- Pathan MF, Fariduddin M, Nazimuddin K, Mollah AS, Islam Siddiqui MN, Hassan KA, Ferdous HS, Rahman MH, Ashrafuzzaman SM, Sobhan MJ, E-Tanvir Haider MR, Amin MF. The Incidence of Hypoglycemia among Insulin-Treated Patients with Type 1 or Type 2 Diabetes: Bangladeshi Cohort of International Operations-Hypoglycemia Assessment Tool Study. Indian J Endocrinol Metab. 2018 May-Jun;22(3):379-386. doi: 10.4103/ijem.IJEM_545_17.
- Gomez AM, Chica LG, Burbano AF, Vasquez EM, Escobar JA, Arias PM, Molina DI. Survey on hypoglycemia among insulin-treated patients with diabetes: The Colombian International Operations Hypoglycemia Assessment Tool population. Biomedica. 2019 Sep 1;39(3):576-586. doi: 10.7705/biomedica.4365.
- Rudijanto A, Saraswati MR, Yunir E, Kumala P, Puteri HH, Mandang VV. Indonesia Cohort of IO HAT Study to Evaluate Diabetes Management, Control, and Complications in Retrospective and Prospective Periods Among Insulin-Treated Patients with Type 1 and Type 2 Diabetes. Acta Med Indones. 2018 Jan;50(1):26-37.
- Mirasol R, Nicodemus N Jr, Jain A, Gadekar AV, Yu-Gan S. Self-Reported Hypoglycemia in Insulin-Treated Patients with Diabetes: Results from the Philippine Cohort of the International Operations Hypoglycemia Assessment Tool (IO HAT) Study. J ASEAN Fed Endocr Soc. 2018;33(1):12-21. doi: 10.15605/jafes.033.01.03. Epub 2018 Apr 3.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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 (Actual)
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
- INS-4177
- U1111-1161-9157 (Other Identifier: WHO)
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