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Status unknownNCT01192711DID3Updated Sep 2, 2010

Insulin Administration Plus a Telemedicine System (Diabetes Interactive Diary - DID) vs Insulin Plus Common Practice

A Phase 3 interventional study of Diabetes Interactive Diary (DID) in Type 1 Diabetes, sponsored by Consorzio Mario Negri Sud. Status unknown at 13 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2010-09-02.

Sponsored by Consorzio Mario Negri Sud · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2010), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
130
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The Diabetes Interactive Diary (DID) is both a CHO (carbohydrates )/insulin bolus calculator, an information technology and a telemedicine system based on the communication between health care professional and patient by SMS messages.

Aim of the study is to compare an insulin regimen of insulin glargine + prandial insulin glulisine associated with a telemedicine system to teach CHO counting (DID) with the same insulin regimen administered according to usual practice.

02

Conditions studied

  • Type 1 Diabetes

Keywords

  • diabetes
  • telemedicine
  • self monitoring blood glucose
03

In context

Diabetes Mellitus

10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

This study's planned enrollment of 130 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Consorzio Mario Negri Sud is the lead sponsor of 4 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Individuals with type 1 diabetes as defined by the criteria of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus (29)
  • Males and females
  • Age equal or more than 18 years
  • Patients not habitually using CHO (carbohydrates) counting
  • Self monitoring blood glucose (SMBG) at least 3 times a day
  • Four basal-bolus daily injections of short-acting and long-acting insulin analogues
  • HbA1c equal or more than 7.5%
  • Female patients have to be postmenopausal, hysterectomised or surgically sterilized or using reliable and adequate contraceptive methods (oral contraception or IUD);
  • A full study-specific informed consent must be obtained in writing for all subjects

Exclusion criteria

Exclusion Criteria:

  • Multiple daily injections of NPH insulin or soluble rapid insulin or Continuous Subcutaneous Insulin Infusion (CSII) therapy
  • Mental conditions, depression, or high anxiety rendering the subject unable to understand the nature, scope, and possible consequences of the study
  • Eating disorders
  • Pregnancy / lactation.
  • Any clinically significant major organ system disease such as relevant cardiovascular, gastrointestinal, hepatic, neurological, endocrine, haematological or other major systemic diseases or infective diseases making implementation of the protocol or interpretation of the study results difficult
  • Any disease or condition including abuse of illicit drugs, prescription medicines or alcohol that in the opinion of the investigator may interfere with the completion of the study
  • Subjects unlikely to comply with protocol, e.g., uncooperative attitude, inability to return for follow-up visits, and unlikelihood of completing the study procedures.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
130 participants (estimated)

Study arms

  • Experimental
    insulin + DID

    Three prandial (before or at the end of meal administration, based on doctor counselling and patient decision) injections per day of insulin glulisine associated with basal insulin glargine; the DID will be used to estimate the CHO content of the food intended to eat. Insulin doses in this group will be adjusted based on DID calculations and pre-meal BG values.

    Device: Diabetes Interactive Diary (DID)

  • No intervention
    insulin + usual care

    Three prandial (before or at the end of meal administration, based on doctor counselling and patient decision) injections of insulin glulisine associated with basal insulin glargine. Insulin doses in group B will be adjusted based on SMBG values reviewed during the doctor office visit.

Interventions

  • DeviceDiabetes Interactive Diary (DID)

    DID is both a CHO/insulin bolus calculator, an information technology and a telemedicine system based on the communication between health care professional (physician or dietitian) and patient by SMS messages.

06

What researchers measure

Primary outcomes

  1. Blood levels of glycosylated hemoglobin

    Time frame: from baseline every three months until the end of the study

Secondary outcomes

  1. blood glucose (BG) levels

    Changes in BG levels from baseline to end of study (fasting BG, pre-/post-prandial BG, nocturnal BG, mean daily BG)

    Time frame: from baseline every three months until the end of the study

  2. Glucose variability

    Glucose variability (MAGE, coefficient of variation of mean fasting BG and post-prandial BG)

    Time frame: from baseline every three months until the end of the study

  3. Change in body weight and BMI

    Time frame: from baseline every three months until the end of the study

  4. Total daily insulin dose, total basal insulin dose, total prandial insulin dose

    Time frame: from baseline every three months until the end of the study

  5. Quality of life

    the quality of life will be measured by Diabetes Specific Quality of Life Scale (DSQOLS) and Diabetes Treatment Satisfaction Questionnaire (DTSQ)

    Time frame: at baseline and at the end of the study

  6. Frequency of patients with hypoglycemic episodes and frequency of hypoglycemic episodes overall

    Time frame: every three months until the end of the study

  7. Frequency of patients with severe and/or symptomatic hypoglycemia and frequency of severe and/or symptomatic hypoglycemic episodes overall

    Time frame: every three months until the end of the study

  8. Frequency and times of hypoglycemic events with regard to occurrence during the day (24 hours) and total treatment duration (24 weeks)

    Time frame: every three months until the end of the study

07

Study locations

10 of 13 sites recruiting
  • Ospedale G.B. Morgagni - L. Pierantoni
    Forlì, 47100, Italy
    • Silvia Acquati, MD · Contact · s.acquati@ausl.fo.it · +39 0543 731199
    • Silvia Acquati, MD · Principal investigator
    Not yet recruiting
  • P.O. di Grosseto - Stabilimento Misericordia
    Grosseto, 58100, Italy
    Recruiting
  • Az. Osp. S. Anna - Presidio Ospedaliero Cantù - Mariano Comense
    Mariano Comense, 22066, Italy
    Recruiting
  • Istituto Scientifico San Raffaele
    Milan, 20132, Italy
    • Andrea Laurenzi, MD · Contact · laurenzi.andrea@hsr.it · +39 02 2643
    • Gabriella Galimberti, MD · Principal investigator
    Recruiting
  • Ospedale Niguarda Cà Granda
    Milan, 20162, Italy
    Recruiting
  • II Università di Napoli Centro Regionale di Diabetologia Pediatrica "G. Stoppoloni"
    Naples, 80138, Italy
    • Dario Iafusco, MD · Contact · dario.iafusco@unina2.it · +39 081 5665434
    • Francesco Prisco, MD · Principal investigator
    Recruiting
  • Università degli Studi di Padova Dipartimento di Medicina Clinica e Sperimentale
    Padua, 35128, Italy
    • Alberto Maran, MD · Contact · alberto.maran@unipd.it · +39 049 8212097
    • Alberto Maran, MD · Principal investigator
    Recruiting
  • Ospedale Cisanello
    Pisa, 56124, Italy
    Recruiting
  • U.O. di Diabetologia, Dip. di Malattie Digestive & Metaboliche
    Ravenna, 48100, Italy
    • Paolo Di Bartolo, MD · Contact · p.dibartolo@ausl.ra.it · +39 0544 286326
    • Paolo Di Bartolo, MD · Principal investigator
    Recruiting
  • Ospedale Infermi
    Rimini, 47900, Italy
    • Cinzia Trojani, MD · Contact · ctrojani@auslrn.net · +39 0541 705370
    • Cinzia Trojani, MD · Principal investigator
    Not yet recruiting
  • Ospedale Sandro Pertini
    Rome, 00157, Italy
    • Concetta Suraci, MD · Contact · tsuraci@tiscali.it · +39 06 41433513
    • Concetta Suraci, MD · Principal investigator
    Recruiting
  • Ospedale Magati
    Scandiano, 42019, Italy
    • Valerio Miselli, MD · Contact · miselliv@ausl.re.it · +39 0522 850247
    • Valerio Miselli, MD · Principal investigator
    Not yet recruiting
  • Azienda Ospedaliera-Universitaria S. Giovanni Battista
    Turin, 10126, Italy
    • Giorgio Grassi, MD · Contact · giorgio.grassi@gmail.com · +39 011 6335605
    • Giorgio Grassi, MD · Principal investigator
    Recruiting
08

References and documents

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 2, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01192711
Lead sponsor
Consorzio Mario Negri Sud
Collaborators
Sanofi, LifeScan
First posted
Sep 1, 2010
Start date
May 2009
Primary completion
Oct 2011 (estimated)
Last update
Sep 2, 2010

Study contacts

Antonio Nicolucci, MD
Contact
nicolucci@negrisud.it
+39 0872 570 ext. 260
Maria C Rossi
Contact
mrossi@negrisud.it
+39 0872 570 ext. 266
Antonio Nicolucci, MD
study chair · Consorzio Mario Negri Sud

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Sep 2010. You cannot join it, but the record below documents what was studied.

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