* The primary objective of the present study is to verify the superiority of Telecare program vs. standard SMBG program in terms of mean HbA1c value (- 0,5%) at end-point. * The secondary objectives of the study are the assessment of: total daily dose of insulin, changes in glycaemic and lipid profile, frequency of hypoglycaemias, changes in weight, health-related quality of life, cost-effectiveness of Telecare program vs. common ambulatory program; general safety (adverse event profile, other routine laboratory parameters).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
352
individualized, once daily, dose aiming at 2h post-prandial plasma glucose goal \< 140 mg/dl (7.8 mmol/l) in the optimized treatment phase, since visit 3, subcutaneous
individualized, once daily, dose to reach mean fasting plasma glucose (FPG) \<= 126 mg/dl (7.0 mmol/l), since randomization, subcutaneous
1000 mg b.i.d, since the qualification phase, oral
Sanofi-Aventis Administrative Office
Milan, Italy
Changes of glycosilated haemoglobin (HbA1c)
Time frame: At least 12 weeks from baseline (visit 3)
Changes in fasting plasma glucose
Time frame: At each visit
Changes in plasma insulin levels
Time frame: At each visit
Change of Self-monitoring of Blood Glucose (SMBG)
Time frame: for the total study duration
Mean Amplitude Glucose Excursion (MAGE)
Time frame: for the total study duration
Change in lipid profile
Time frame: V1 (screening) and V5 (end of treatment)
Body weight - Body Mass Index
Time frame: V1 (screening), V3 (start of titration), V4 (after 12 weeks of treatment), V5 (end of treatment), V6 (end of follow-up)
Total daily dose of insulins (glargine and glulisine)
Time frame: At each visit (starting from V2 for glargine and from V3 for glulisine)
Health related Quality of Life
Time frame: V2 (start of titration), V4 (after 12 weeks of treatment), V5 (end of treatment)
Hypoglycemic episodes
Time frame: for the total study duration
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.