CGM-Assisted Management of PN
NCT05902104 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 9
Last updated 2026-04-24
Summary
The purpose of this study is to learn more about changes in glucose levels in hospitalized infants with intestinal failure receiving parenteral nutrition or PN (nutrients delivered intravenously), as they transition from continuous PN (given 24 hours a day) to cycled PN (given less than 24 hours a day).
There is an increased risk of glucose abnormalities with cycled PN, which can be harmful to infant growth and brain health. Continuous glucose monitors (CGM) will be used to measure interstitial glucose levels (in the tissue under the skin), which are similar to blood glucose levels. CGM is a small, minimally-invasive sensor worn on the thigh, which gives a glucose measurement every 5 minutes, and can help us understand changes in blood sugar levels without having to do a blood draw or fingerstick. CGM will be used during PN cycling for up to 30 days or until hospital discharge. If target GIR cycled PN is not reached following 3 sensor periods (up to 10 days per sensor), the parent/guardian will be approached to accept or decline participation in an optional extension phase. In the extension phase, the primary study will be repeated and CGM monitoring will continue until target GIR cycled PN is reached, up to an additional 3 sensor placements. CGM data will be hidden from the clinical team, there will be no change to routine clinical care. CGM may provide false low glucose readings when the tissue around the sensor is compressed (compression lows), such as when laying on the sensor during sleep. We will generate data during the study to help identify and filter the final dataset to remove likely compression lows.
This study may help us understand how cycled PN affects glucose levels in infants with intestinal failure, which may help other children treated with cycled PN in the future.
Conditions
- Intestinal Failure
- Hypoglycemia
- Hyperglycemia
Sponsors & Collaborators
-
DexCom, Inc.
collaborator INDUSTRY - lead OTHER
Principal Investigators
-
Michael SD Agus, MD · Boston Children's Hospital
Eligibility
- Min Age
- 2 Months
- Max Age
- 18 Months
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-07-06
- Primary Completion
- 2025-05-16
- Completion
- 2025-05-16
Countries
- United States
Study Locations
More Related Trials
-
Continuous Glucose Monitoring in Infants
NCT04458649 ·Status: RECRUITING
-
Flash Glucose Measure System and Continuous Subcutaneous Insulin Infusion Therapy in Poorly Controlled Diabetes Type 1 Patients
NCT03671161 ·Status: COMPLETED ·Phase: NA
-
Inpatient Closed-loop Glucose Control
NCT01819844 ·Status: COMPLETED ·Phase: NA
-
Continuous Glucose Monitoring of Hospitalized Patients With Diabetes
NCT04230694 ·Status: COMPLETED ·Phase: NA
-
Assessing Continuous Glucose Monitors in Healthy Children
NCT00069602 ·Status: COMPLETED ·Phase: PHASE4
-
Detecting Neonatal Hypoglycemia Using Real-Time Continuous Glucose Monitoring (CGM)
NCT03032523 ·Status: COMPLETED ·Phase: NA
-
The CGMS in GDM Labor and Delivery Study
NCT05067075 ·Status: COMPLETED ·Phase: NA
-
Can Continuous Glucose Measurements Help Diabetic Patients Treated With an Implantated Pump?
NCT03048227 ·Status: TERMINATED ·Phase: NA
-
Creating Linked Inpatient CGM for Kids
NCT06899503 ·Status: NOT_YET_RECRUITING
-
Exploration of Continuous Glucose Monitoring on the Intensive Care Unit
NCT06645873 ·Status: COMPLETED ·Phase: NA
-
Pilot Study of the Navigator Continuous Glucose Monitor
NCT00166673 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Evaluation of Blood Glucose Monitoring Systems With Blood Samples From Neonates
NCT01756274 ·Status: COMPLETED ·Phase: NA
-
Effect of Continuous Glucose Monitoring System Alerts on Diabetes Management in the Hospital
NCT05941286 ·Status: COMPLETED ·Phase: NA
-
Accuracy Comparison of Two CGMs in Hospitalized Patients
NCT05081817 ·Status: COMPLETED
-
Diabetes Management Using Continuous Glucose Monitors and Remote Patient Monitoring in Underserved Populations
NCT06939413 ·Status: RECRUITING ·Phase: NA
-
Continuous Glucose Monitoring in Neonatal Hyperinsulinism
NCT06363929 ·Status: TERMINATED
-
Tolerability, Acceptance, and Utility of Intermittent CGM Use in Youth With Prediabetes
NCT05505565 ·Status: COMPLETED ·Phase: NA
-
CGM Use in Preterm Infants
NCT05436925 ·Status: COMPLETED
-
Real-time Continuous Glucose Monitoring in Very Low Birth Weight Neonates
NCT01942239 ·Status: COMPLETED ·Phase: NA
-
Accuracy, Satisfaction and Usability of a FGM System Among Children and Adolescents Attending a Diabetes Summer Camp
NCT03368586 ·Status: COMPLETED
-
Continuous Glucose Monitoring in At-Risk Newborns
NCT04386005 ·Status: RECRUITING ·Phase: NA
-
Use of Continuous Glucose Monitoring System With Intensive Feedback in Adolescents With Poorly Controlled Type 1 Diabetes
NCT03020069 ·Status: COMPLETED ·Phase: NA
-
Continuous Glucose Monitoring in New Mothers With Type 1 Diabetes
NCT02898428 ·Status: COMPLETED
-
Continuous Glucose Monitoring in Hospitalized Patients With Diabetes Mellitus
NCT04653454 ·Status: COMPLETED ·Phase: NA
-
A Clinical Study of the Performance of a Glucose Blinding Protein-Based Continuous Glucose Monitor (GBP CGM)
NCT01469715 ·Status: COMPLETED ·Phase: PHASE2