Hybrid Closed-Loop System in Neurosurgical Perioperative Hyperglycemia: An Open RCT
NCT06909071 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2025-04-23
Summary
In this study, we plan to use an open-source hybrid closed-loop artificial pancreas system and a combination of a traditional insulin pump and continuous glucose monitoring (CGM) respectively to conduct short-term intensive insulin treatment for patients with type 2 diabetes mellitus (T2DM) during the perioperative period who are hospitalized in the Department of Neurosurgery of Shanxi Bethune Hospital. By comparing the blood glucose control status of patients under different intensive insulin treatment regimens and other clinical indicators such as postoperative complications, we will comprehensively evaluate the clinical efficacy and safety of the hybrid closed-loop artificial pancreas system.
Conditions
- T2DM Patients With Traumatic Brain Injury
Interventions
- DEVICE
-
Hybrid Closed-Loop Artificial Pancreas System
The total daily insulin requirement is calculated as 0.3 - 0.6 U/(kg·d) according to patient's weight. The system automatically adjusts the basal rate during operation. Nurses enter bolus dose orders in AAPS software as directed by physicians. Blood glucose is monitored via continuous glucose monitoring and 4 daily fingerstick measurements (fasting and 2 hours after each meal).
Sponsors & Collaborators
-
Shanxi Bethune Hospital
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-04-15
- Primary Completion
- 2027-06-30
- Completion
- 2027-08-31
Countries
- China
Study Locations
More Related Trials
-
Closed Loop Glucose Control in Patients With Type 2 Diabetes
NCT05386849 ·Status: COMPLETED ·Phase: NA
-
Continuous Glucose Monitoring Combined With Computer Algorithm for Intensive Insulin Therapy in Cardiosurgical Patients
NCT00996099 ·Status: COMPLETED ·Phase: NA
-
Closed Loop Glucose Control in Patients With Type 1 and Type 2 Diabetes
NCT05644730 ·Status: COMPLETED ·Phase: NA
-
Continuous Glucose Monitoring in Critically Ill Surgical Patients
NCT01108640 ·Status: COMPLETED
-
Evaluation of Continuous Glucose Monitoring in Patients With ACS and Type 2 Diabetes in ICU
NCT04822740 ·Status: TERMINATED ·Phase: NA
-
Computerized Tight Glycemic Control in Cardiac Surgery
NCT01886365 ·Status: COMPLETED ·Phase: NA
-
Artificial Pancreas With Carbohydrate Suggestion for Patients With Type 1 Diabetes Prone to Hypoglycemia
NCT05628662 ·Status: COMPLETED ·Phase: NA
-
Perioperative Closed-loop Glucose Control
NCT04361799 ·Status: COMPLETED ·Phase: NA
-
Effect of an Artificial Pancreas in Patients Undergoing Hepatic Resection
NCT00659698 ·Status: COMPLETED ·Phase: PHASE4
-
Computer-Guided Glucose Management Systems in Treating Patients With Hyperglycemia Who Have Undergone Blood and Bone Marrow Transplant
NCT01236885 ·Status: COMPLETED ·Phase: NA
-
Efficiency of Two Glucose Sampling Protocols for Maintenance of Euglycemia
NCT00993057 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Outcomes Study of Hyperinsulinemic Glucose Control in Cardiac Surgery
NCT00524472 ·Status: COMPLETED ·Phase: NA
-
Insulin Balanced Infusion System
NCT01291719 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
Glargine Insulin vs.Continuous Regular Insulin in Diabetic Surgical Patients Receiving Parenteral Nutrition (GLUCOSE-in-PN)
NCT02216799 ·Status: COMPLETED ·Phase: PHASE4
-
Tight Glycemic Control by Artificial Pancreas
NCT00735228 ·Status: UNKNOWN ·Phase: NA
-
Glucose Monitoring in Treatment of Postprandial Hypoglycemia After Gastric Bypass Surgery
NCT06468865 ·Status: RECRUITING ·Phase: NA
-
Glucose Control by eMPC Algorithm in Peri- and Postoperative Period in Cardiac Surgery Patients
NCT00444171 ·Status: COMPLETED ·Phase: NA
-
Intensive Insulin Therapy in Patients Undergoing Coronary Artery Bypass Surgery
NCT01361594 ·Status: COMPLETED ·Phase: PHASE3
-
Continuous Glucose Monitoring With a Subcutaneous Sensor During Critical Illness and Surgery
NCT00694473 ·Status: COMPLETED ·Phase: NA
-
Efficiency of Continuous Glucose Monitoring in Critically Ill Patients
NCT00494078 ·Status: COMPLETED ·Phase: NA
-
Accuracy, Feasibility and Acceptance of Continuous Glucose Monitoring in Critically Ill Patients
NCT02296372 ·Status: COMPLETED ·Phase: NA
-
Intensive Versus Nonintensive Insulin Therapy for Hyperglycemia After Traumatic Brain Injury
NCT02161055 ·Status: UNKNOWN ·Phase: PHASE4
-
Microdialysis and Jugular Bulb Glucose Profiles During Hyperglycaemic Clamping in Patients With Severe Acute Brain Injury
NCT06393049 ·Status: COMPLETED ·Phase: NA
-
Glucose/Insulin Clamp on Solid Organ Transplant (Liver, Kidney, Pancreas and Heart) on Cadaveric Donors
NCT01304290 ·Status: UNKNOWN ·Phase: NA
-
Glycemic Control to Prevent Cardiac Morbidity in Vascular Surgery
NCT00328094 ·Status: TERMINATED ·Phase: NA