Carbohydrate-based Strategies to Prevent Exercise-induced Hypoglycemia
NCT03214107 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 37
Last updated 2020-06-11
Summary
To prevent hypoglycemia during prolonged exercise (\>30 minutes), additional carbohydrate intake is frequently required. Carbohydrate intake required will vary with insulin regimens, timing and type of exercise as well as starting blood glucose level. In addition to the amount of carbohydrate ingested, the timing of carbohydrate intake could also have an impact on glucose control during exercise. Therefore, the objective of this study will be to compare the efficacy of two snacking strategies to maintain glucose levels in the target range during an exercise period in adolescents and adults with type 1 diabetes: 1) a snack containing \~0.5g of carbohydrates per kilogram of body weight - rounded to the nearest 5g - given 5 minutes before exercise; 2) a snack containing \~0.5g of carbohydrates per kilogram of body weight - rounded to the nearest 5g - distributed this way: \~40% given 5 minutes before exercise, \~30% after 20 minutes of exercise and the last \~30% after 40 minutes of exercise.
Conditions
- Type 1 Diabetes Mellitus
Interventions
- OTHER
-
Exercise
Participants will be admitted at IRCM at 14:00. At 15:30, participants will performed a 60-minute exercise on the ergocycle at 60% of VO2 peak (moderate intensity). During exercise, capillary glucose levels will be measured every 10 minutes. At 16:30, the exercise will be completed and capillary glucose levels will be monitored every 20 minutes for 1 hour. At 17:30, the participant will be discharged.
- OTHER
-
Snack
Full snack or Distributed snack
Sponsors & Collaborators
-
Institut de Recherches Cliniques de Montreal
lead OTHER
Principal Investigators
-
Remi Rabasa-Lhoret · Institut de recherches cliniques de Montréal
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 14 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-08-03
- Primary Completion
- 2019-08-02
- Completion
- 2019-08-02
Countries
- Canada
Study Locations
More Related Trials
-
The Role of Endogenous Lactate in Brain Preservation and Counterregulatory Defenses Against Hypoglycemia
NCT02308293 ·Status: COMPLETED ·Phase: NA
-
Glucose Response to a Formula for Patients at Risk of Hypoglycaemia
NCT05676385 ·Status: COMPLETED ·Phase: NA
-
Breakfast Nutrition and Inpatient Glycemia
NCT01805414 ·Status: COMPLETED ·Phase: NA
-
Fructose in Exercising Individuals With Type 1 Diabetes Using Insulin Degludec
NCT03497260 ·Status: COMPLETED ·Phase: NA
-
The Effect of Hypoglycaemia on Brain Lactate Accumulation and Cerebral Blood Flow
NCT02146404 ·Status: COMPLETED ·Phase: NA
-
HIT on Hypoglycaemic Risk in T1D
NCT05044442 ·Status: COMPLETED ·Phase: NA
-
Mechanisms of Hypoglycemia Associated Autonomic Dysfunction, Q.3
NCT00742521 ·Status: COMPLETED ·Phase: NA
-
Hypoglycemia Associated Autonomic Failure in Type 1 Diabetes Mellitus (DM)
NCT01672255 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Exercise-induced Glycemic Variations and Hybrid Closed-loop Systems
NCT05736263 ·Status: UNKNOWN ·Phase: NA
-
Periprocedural Glycemic Control in Patients Undergoing Coronary Angiography
NCT01419652 ·Status: COMPLETED ·Phase: PHASE4
-
Blood/Interstitial Glucose Measurements and Cognitive Function During Hypoglycemia and Recovery
NCT01283126 ·Status: COMPLETED ·Phase: NA
-
The Effect of Intravenous Lactate on Brain Lactate Concentrations During Hypoglycemia
NCT03286816 ·Status: COMPLETED ·Phase: NA
-
Avoidance of Hyperglycaemia in People With Type 1 Diabetes
NCT04732780 ·Status: COMPLETED
-
Prevention of Hypoglycemia Among Diabetes Patients Admitted to Internal Medicine Departments With Nutritional Care
NCT03802942 ·Status: UNKNOWN ·Phase: PHASE3
-
Identifying the Brain Substrates of Hypoglycemia Unawareness in Type 1 Diabetes
NCT02866435 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Study of a Primary Care Hypoglycemia Prevention Program
NCT06353217 ·Status: COMPLETED ·Phase: NA
-
The Effect Lactate Administration on Cerebral Blood Flow During Hypoglycemia
NCT03730909 ·Status: UNKNOWN ·Phase: NA
-
Glucose Control for Glucocorticoid Induced Hyperglycemia During Chemotherapy
NCT02155374 ·Status: COMPLETED ·Phase: PHASE4
-
Tight Glycemic Control With Intensive Insulin Therapy in PICU
NCT00214916 ·Status: UNKNOWN ·Phase: PHASE2
-
Cerebral Responses to Insulin Induced Hypoglycemia
NCT02747680 ·Status: COMPLETED ·Phase: NA
-
Effect of Naltrexone on Counterregulatory Mechanisms in Hypoglycemia
NCT01462227 ·Status: COMPLETED ·Phase: NA
-
The Effects of Antecedent Hypoglycemia or Exercise on the Response of the Brain to Subsequent Hypoglycemia
NCT00600730 ·Status: WITHDRAWN ·Phase: NA
-
Blood Glucose Management in Intensive Care Units
NCT05775770 ·Status: UNKNOWN
-
Effect of Different Plasma Insulin Levels on the Accuracy of Continuous Subcutaneous Glucose Monitoring
NCT01714895 ·Status: COMPLETED ·Phase: NA
-
Comparing Two Ways of Controlling Blood Sugar With Insulin in Patients Admitted to the Intensive Care Unit
NCT00166491 ·Status: COMPLETED ·Phase: NA