Cohort Study of Patients With Type 1 Diabetes
2022年7月2日 更新者：Zhiguang Zhou、Second Xiangya Hospital of Central South University
Cohort Study of Patients With Type 1 Diabetes：Clarifing the Underlying Hereditary and Autoimmune Pathogenic Factors
This study aims to clarify the underlying hereditary and autoimmune factors that contribute to clinical type 1 diabetes and gain a better understanding of the natural history of the disease.
調査の概要
研究の種類
観察的
入学 (実際)
2110
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
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Hunan
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Changsha、Hunan、中国、410011
- Institute of Metabolism and Endocrinology, Second Xiangya Hospital, Central South University
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 子
- 大人
- 高齢者
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
サンプリング方法
確率サンプル
調査対象母集団
type 1 diabetes patients
説明
Inclusion Criteria:
- diabetes diagnosed according to the report of WHO (World Health Organization) in 1999;
- insulin dependence from disease onset,thus diagnosed with type 1 diabetes;
- all patients gave informed consent to participate in the study and the protocol was approved by the Research Ethics Committee in second Xiangya hospital, Central South University.
Exclusion Criteria:
- secondary diabetes mellitus;
- pregnant women;
- malignant disease.
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
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Intensive structured education group
Regular outpatient visit in every 3 months to these patients.
The glucose control and diabetes complication screening will be evaluated in visit.
Patients will also be evaluated by specialized psychologists, dietitians and therapists.
Diabetes self-management education will be regularly exposed to patients
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The structured education is based on a regular outpatients visit.It is an education that integrated several diabetes related subjects,which mainly aimed at T1D self-management.
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Conventional education group
Outpatients visit to endocrinologists when necessary in a conventional way.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Effects of structured education on β-cell endocrine function progression of T1D patients.
時間枠：Baseline and every three months afterwards.
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The natural progression of patients' β-cell endocrine functions was assessed by fasting C-peptide (FCP) and postprandial C-peptide (PCP) at each visit. FCP and PCP levels were measured at initial recruitment and every three months after that. The decay rate of β-cell endocrine function of patients in the two groups were compared. Serum C-peptide levels were measured by a chemiluminescence method using a commercial available kit (Adiva Centaur System, Siemens, Germany). |
Baseline and every three months afterwards.
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Effects of structured education on blood sugar control.
時間枠：Baseline and every three months afterwards.
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Patients' daily insulin dosage (U/Day) were collected at initial recruitment and each visit afterwards.
And the above mentioned parameters in group 1(patients with structured education) and group2(patients without structured education) were compared.
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Baseline and every three months afterwards.
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Effects of structured education on blood sugar control.
時間枠：Baseline and every three months afterwards.
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Patients' blood sugar levels were collected at initial recruitment and each visit afterwards.
And the above mentioned parameters in group 1(patients with structured education) and group2(patients without structured education) were compared.
|
Baseline and every three months afterwards.
|
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Effects of structured education on blood sugar control.
時間枠：Baseline and every three months afterwards.
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Patients' HbA1c levels were collected at initial recruitment and each visit afterwards.
And the above mentioned parameters in group 1(patients with structured education) and group2(patients without structured education) were compared.HbA1c concentration was tested by the Bio-Red Variant automatic measurement system.
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Baseline and every three months afterwards.
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Effects of structured education on metabolic control.
時間枠：Baseline and every three months afterwards.
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Patients' body mass index (BMI) levels were collected at initial recruitment and each visit afterwards.
And the above mentioned parameters in group 1(patients with structured education) and group2(patients without structured education) were compared.
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Baseline and every three months afterwards.
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Effects of structured education on metabolic control.
時間枠：Baseline and every three months afterwards.
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Patients' systolic blood pressure (SBP) and diastolic blood pressure (DBP) levels were collected at initial recruitment and each visit afterwards.
And the above mentioned parameters in group 1(patients with structured education) and group2(patients without structured education) were compared.
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Baseline and every three months afterwards.
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Effects of structured education on metabolic control.
時間枠：Baseline and every three months afterwards.
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Patients' triglyceride (TG) and total cholesterol (TC) levels were collected at initial recruitment and each visit afterwards.
And the above mentioned parameters in group 1(patients with structured education) and group2(patients without structured education) were compared.
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Baseline and every three months afterwards.
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
- Chen Y, Xia Y, Xie Z, Zhong T, Tang R, Li X, Zhou Z. The Unfavorable Impact of DR9/DR9 Genotype on the Frequency and Quality of Partial Remission in Type 1 Diabetes. J Clin Endocrinol Metab. 2022 Jan 1;107(1):e293-e302. doi: 10.1210/clinem/dgab589.
- Zhu S, Liu F, Li J, Guan Y, Meng M, Li X, Zhou Z, Xu R, Li L. Development and validation of a self-management scale of type 1 diabetes for Chinese adults. J Int Med Res. 2020 Aug;48(8):300060520947588. doi: 10.1177/0300060520947588.
- Li X, Zhong T, Tang R, Wu C, Xie Y, Liu F, Zhou Z. PD-1 and PD-L1 Expression in Peripheral CD4/CD8+ T Cells Is Restored in the Partial Remission Phase in Type 1 Diabetes. J Clin Endocrinol Metab. 2020 Jun 1;105(6):dgaa130. doi: 10.1210/clinem/dgaa130.
- Xie Y, Liu F, Huang F, Lan C, Guo J, He J, Li L, Li X, Zhou Z. Establishment of a type 1 diabetes structured education programme suitable for Chinese patients: type 1 diabetes education in lifestyle and self adjustment (TELSA). BMC Endocr Disord. 2020 Mar 10;20(1):37. doi: 10.1186/s12902-020-0514-9.
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2016年10月1日
一次修了 (実際)
2021年12月31日
研究の完了 (実際)
2021年12月31日
試験登録日
最初に提出
2018年5月11日
QC基準を満たした最初の提出物
2018年7月25日
最初の投稿 (実際)
2018年8月2日
学習記録の更新
投稿された最後の更新 (実際)
2022年7月6日
QC基準を満たした最後の更新が送信されました
2022年7月2日
最終確認日
2022年7月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。