A randomized, crossover, open study in order to compare treatment satisfaction with insulin Glargine plus insulin Apidra Vs NPH insulin plus insulin Apidra in newly diagnosed children and adolescents with type 1 diabetes. The study will include two consecutive periods: 2 weeks run in period and 24 weeks intervention period, divided into two separate treatment periods of 12 weeks. According to randomization, each patient will be treated consecutively with both treatment arms: 12 weeks with insulin Glargine and than 12 weeks with NPH insulin or 12 weeks with insulin NPH ad than 12 weeks with insulin Glargine. Patients will complete DTSQ (Diabetes Treatment Satisfaction Questionnaire) at months 0, 12 and 24 weeks, before and at the end of each study arm.
A randomized, crossover, open study in order to compare treatment satisfaction with insulin Glargine plus insulin Apidra Vs NPH insulin plus insulin Apidra in newly diagnosed children and adolescents with type 1 diabetes. 134 Patients with new onset Diabetes type 1, diagnosed 12 months previously at maximum will be enrolled. The study will include two consecutive periods: 2 weeks run in period and 24 weeks intervention period, divided into two separate treatment periods of 12 weeks. According to randomization, each patient will be treated consecutively with both treatment arms: 12 weeks with insulin Glargine and than 12 weeks with NPH insulin or 12 weeks with NPH insulin and than 12 weeks with insulin Glargine. The study will consist of 4 clinical visits, taking place at -2, 0, 12 and 24 weeks. Height,weight,vital signs, HbA1c and insulin doses will be determined during the clinical visits. Patients will complete DTSQ (Diabetes Treatment Satisfaction Questionnaire) at months 0, 12 and 24 weeks, before and at the end of each study arm. The DTSQ questionnaires consists of DTSQ parents- for patients below the age of 13, and DTSQ teen for those above age 13.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
44
12 wees treatment with Insulin Glargine + Insulin Apidra
Insulin NPH + Insulin Apidra: Active Comparator
Soroka hospital
Bear Sheva, Israel
Rambam Hospital
Haifa, Israel
Health care unit- Jerusalem
Jerusalem, Israel
Schnider children medical center
Petah Tikva, Israel
Treatment satisfaction
Time frame: patients will complete DTSQ at months 0,12 and 24
HbA1c
Time frame: value of Hba1C will be measured at screening visit and at the end of each study arm
4 and 7 points glucose profile
Time frame: patients will complete a diary before all clinical visits
Insulin doses
Time frame: Insulin doses will be determined at baseline visit and every visit after
Hypoglycemic events
Time frame: patients will report in their diary every episode of hypoglycemia
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.