Safety of Preoperative Carbohydrate Loading in Diabetic Patients (NoNPO)

October 14, 2021 updated by: Susie Yoon, Seoul National University Hospital

Safety of Preoperative Carbohydrate Loading in Diabetic Patients Undergoing General Anesthesia

The purpose of this study is to investigate the safety of preoperative carbohydrate loading in diabetic patients undergoing general anesthesia

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Actual)

60

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Korea, Republic of
    • Jongnogu
      • Seoul, Jongnogu, Korea, Republic of, 03080
        • Seoul National University Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

N/A

Genders Eligible for Study

All

Sampling Method

Probability Sample

Study Population

Patients over 18 years of age who are scheduled to undergo general anesthesia are subject to preoperative carbohydrodritate loading and diagnosed with type 2 diabetes taking oral hypoglycemic agents

Description

Inclusion Criteria:

  • Elective surgery
  • Type 2 diabetes mellitus on oral hypoglycemic agents
  • American Society of Anesthesiologists physical status 2 or 3
  • Ages 18 or more
  • Approve to participate

Exclusion Criteria:

  • Ambulatory surgery
  • BMI >35
  • History of gastric or esophagus surgery
  • History of GERD, dyspepesia or
  • Anticipated difficult intubation (previous III or more Cormack and Lehane's grade, Mallamgrade, Mallampati scpati scoreore III or moreIII or more, propro/retro/retrognathism, gnathism, thyromental distance<6.5cm, thyromental distance<6.5cm, limited mouth openinglimited mouth opening)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Patient who received carbohydrate loading
Patients with diabetes mellitus type 2 who are planned to receive a carbohydrate beverage (400 ml (12.8% carbohydrates, 50 kcal/100 ml; Nucare NONPO Ⓡ , Daesang Wellife, Korea) before the operation and up to 2 hours before the induction of anesthesia outside this clinical study setting
Dietary supplement: noNPO

Patients with diabetes mellitus type 2 who are planned to receive a carbohydrate beverage (400 ml (12.8% carbohydrates, 50 kcal/100 ml; Nucare NONPO Ⓡ , Daesang Wellife, Korea) before the operation and up to 2 hours before the induction of anesthesia outside this clinical study setting will be asked to be enrolled into the study.

Before induction of general anesthesia, all patients were evaluated the gastric volume under ultrasonography.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Incidence of gastric ultrasonography score as low risk (grade 0 or 1)
Time Frame: 30 minutes after intubation
Ultrasound assessment of gastric volume by gastroscopic examination.
30 minutes after intubation

Secondary Outcome Measures

Outcome Measure
Time Frame
Gastric volume
Time Frame: 30 minutes after intubation
30 minutes after intubation
Blood sugar test
Time Frame: 30 minutes after intubation and 30 minutes after extubation
30 minutes after intubation and 30 minutes after extubation
The incidence of insulin bolus injection
Time Frame: during operation
during operation
The incidence of insulin bolus injection
Time Frame: up to 30 minutes after extubation
up to 30 minutes after extubation
Satisfaction scale of patients
Time Frame: up to 30 minutes after extubation
up to 30 minutes after extubation
The incidence of nausea and vomiting
Time Frame: up to 30 minutes after extubation
up to 30 minutes after extubation

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Seoul National University Hospital

Investigators

  • Principal Investigator: Susie Yoon, MD, Seoul National University Hospital

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 22, 2020

Primary Completion (Actual)

May 4, 2021

Study Completion (Actual)

May 4, 2021

Study Registration Dates

First Submitted

June 25, 2020

First Submitted That Met QC Criteria

June 29, 2020

First Posted (Actual)

July 2, 2020

Study Record Updates

Last Update Posted (Actual)

October 15, 2021

Last Update Submitted That Met QC Criteria

October 14, 2021

Last Verified

October 1, 2021

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 20030471108

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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