- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02518022
How to be Safe With Alcoholic Drinks in Diabetes (BEER)
A Monocentric, Controlled, Randomized, Open-label Cross-over Study to Explore the Possible Insulin Treatment of Beverages Containing Alcohol and Carbohydrates in Adolescents and Young Adults With Type 1 Diabetes
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Participants will get two times a height, weight an gender based amount of beer.
One time (Standard) there will be no Insulin given for the beer. Second time (Intervention) half of the carbohydrates containing in the beer will be covered with Insulin, additionally the basal rate will be set to 50% for 12 hours.
All the time, Glucose will be monitored by continuous subcutaneous Glucose Monitoring.
Study Type
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Hannover, Germany, 30173
- Kinder - und Jugendkrankenhaus AUF DER BULT
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Signed informed consent by participants
- Signed informed consent by parent or legal guardian of adolescent participants <18 years of age
- Age between16-21 years (both including)
- >1 year Type 1 Diabetes
- continuous subcutaneous insulin infusion for at least 3 months
- HbA1c 7-10 % (both including)
- BMI between10-95th percentile for gender and age (both including) for adolescents, <95th percentile for adults
- Ability to wear glucose sensor
- Normal liver enzymes (alanine aminotransferase , aspartate transaminase , Gamma-Glutamyl-Transferase, bilirubin) in age appropriate range by local lab
Exclusion Criteria:
- Severe hypoglycaemia or diabetic ketoacidosis in the past 6 month
- Alcohol or drug abuse
- Psychiatric disorder
- Unstable other metabolic disease as judged by investigator
- Intake of glucocorticoids or growth hormone
- Allergy to adhesive
- Coeliac disease
- Women of child-bearing potential who have a positive pregnancy test at screening or plan to become pregnant during the course of the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: CROSSOVER
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
EXPERIMENTAL: Intervention
For carbohydrates in beer, subjects will get covering by Insulin (1/2 of calculated amount).
As well Insulin basal rate will set to half for 12 hours
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Insulin for beer
Other Names:
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NO_INTERVENTION: Standard
No Insulin Treatment of carbohydrates in beer.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
• Number of hypoglycaemic events <70 mg/dl per arm from begin of consumption until lunch next day (12:00 am)
Time Frame: 18 hours
|
18 hours
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
• Area under the curve Glucose Sensor >120 mg/dl from begin of drinking to lunch next day
Time Frame: 18 hours
|
18 hours
|
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• Total Area under the curve
Time Frame: 18 hours
|
18 hours
|
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• average Sensor Glucose from begin of drinking to 12 hours past and to lunch next day
Time Frame: 18 hours
|
18 hours
|
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• Time from end of consumption to nadir of serum glucose
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|
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• Number of hypoglycaemic events <70 mg/dl per treatment arm until lunch
Time Frame: 18 hours
|
18 hours
|
|
• Number of hyperglycaemic events > 180 mg/dl per treatment arm until lunch
Time Frame: 18 hours
|
18 hours
|
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• Time in Hypoglycaemia <70 mg/dl per treatment arm
Time Frame: 18 hours
|
18 hours
|
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• Max. alcohol in expiratory breath
Time Frame: 3 hours
|
3 hours
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Torben Biester, MD, Study physician
Publications and helpful links
General Publications
- Krebs HA, Freedland RA, Hems R, Stubbs M. Inhibition of hepatic gluconeogenesis by ethanol. Biochem J. 1969 Mar;112(1):117-24. doi: 10.1042/bj1120117.
- Turner BC, Jenkins E, Kerr D, Sherwin RS, Cavan DA. The effect of evening alcohol consumption on next-morning glucose control in type 1 diabetes. Diabetes Care. 2001 Nov;24(11):1888-93. doi: 10.2337/diacare.24.11.1888.
- Gin H, Morlat P, Ragnaud JM, Aubertin J. Short-term effect of red wine (consumed during meals) on insulin requirement and glucose tolerance in diabetic patients. Diabetes Care. 1992 Apr;15(4):546-8. doi: 10.2337/diacare.15.4.546.
- Jennifer F. Scheel, Karin Schielke, Stefan Lautenbacher, Sabine Aust1, Simone Kremer, Jörg Wolstein; Low-Dose Alcohol Effects on Attention in Adolescents, Zeitschrift für Neuropsychologie, 24 (2), 2013, 103 - 111
- Koivisto VA, Tulokas S, Toivonen M, Haapa E, Pelkonen R. Alcohol with a meal has no adverse effects on postprandial glucose homeostasis in diabetic patients. Diabetes Care. 1993 Dec;16(12):1612-4. doi: 10.2337/diacare.16.12.1612.
- Seidl S, Jensen U, Alt A. The calculation of blood ethanol concentrations in males and females. Int J Legal Med. 2000;114(1-2):71-7. doi: 10.1007/s004140000154.
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- BEER2015
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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