Updating Preventive and Treatment Guidelines for Hypoglycemia in Individuals Living With Type 1 Diabetes
NCT06683391 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 32
Last updated 2025-02-25
Summary
The REMODAL trial is a randomized crossover study aiming to update treatment guidelines for mild hypoglycemia in people with Type 1 diabetes using continuous glucose monitoring (CGM) technology. The study will assess whether treating mild hypoglycemia proactively (at a glucose threshold of 5.0 mmol/L) with lower doses of carbohydrate (CHO) is more effective than the traditional reactive approach (treatment at \< 4.0 mmol/L). The goal is to reduce hypoglycemia frequency and improve quality of life, while minimizing caloric intake and rebound hyperglycemia.
Conditions
Interventions
- BEHAVIORAL
-
Oral Carbohydrate (CHO) Administration for Hypoglycemia Prevention and Treatment
The intervention in the REMODAL trial involves administering specific amounts of oral carbohydrates (CHO) at different glucose thresholds to evaluate the effectiveness of proactive versus reactive hypoglycemia management strategies in adults with Type 1 diabetes using continuous glucose monitoring (CGM). Participants will undergo three distinct interventions, each designed to test a different amount and timing of CHO intake.
Sponsors & Collaborators
-
Institut de Recherches Cliniques de Montreal
lead OTHER
Principal Investigators
-
Remi Rabasa-Lhoret · IRCM
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-02-06
- Primary Completion
- 2026-12-31
- Completion
- 2027-12-31
Countries
- Canada
Study Locations
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