ClinicalTrials.gg
Status unknownNCT03349489Updated May 22, 2018

Insulin-based Strategies to Prevent Hypoglycemia During Exercise

An interventional study of Exercise 1 and Exercise 2 in Type 1 Diabetes Mellitus, sponsored by McGill University Health Centre/Research Institute of the McGill University Health Centre. Status unknown at 2 sites in Canada. Open to participants aged 14 Years and older. Per ClinicalTrials.gov, last updated 2018-05-22.

Sponsored by McGill University Health Centre/Research Institute of the McGill University Health Centre · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified May 2018), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
14 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 15 studies in Diabetes Mellitus, Type 1 by McGill University Health Centre/Research Institute of the McGill University Health Centre — 7 open to participants now, 7 under way, 5 of them phase 3. Diabetes Mellitus, Type 1 · McGill University Health Centre/Research Institute of the McGill University Health Centre.

Planned enrollment
10th of 12
20 · median 32
Started
2018
the only one that year
No phase
4 of 15
none open now
Registered
2nd of 15
by date

Among the 15 studies in Diabetes Mellitus, Type 1 by McGill University Health Centre/Research Institute of the McGill University Health Centre, this one is the 10th largest by planned enrollment of the 12 interventional ones that give a count, is the only one that started in 2018, is one of 4 with no phase, and was the 2nd registered.

Diabetes Mellitus, Type 1

3,754 studies on the registry are indexed under Diabetes Mellitus, Type 1; 600 are open to participants now.

Browse Diabetes Mellitus, Type 1 studies →

Open to participants now

7 of the 15 studies in Diabetes Mellitus, Type 1 by McGill University Health Centre/Research Institute of the McGill University Health Centre are open now, in 2 countries. Recruiting first, the newest first:

2 more — sign in →

By country, each count listing its studies:

All 7 open studies →

Where they have run

Who these studies take

Of the 411 Diabetes Mellitus, Type 1 studies recruiting now, 128 (31%) set no upper age limit and 257 (63%) stop at 75 or younger; 184 take children under 18; 64 take healthy volunteers.

This study: 14 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 15 studies in Diabetes Mellitus, Type 1 by McGill University Health Centre/Research Institute of the McGill University Health Centre, or all of them as a file.
02

Study summary

It has been reported that insulin basal rate reduction initiated at exercise onset can reduce the hypoglycemic risk during exercise. However, another potentially more efficient strategy to prevent exercise-induced hypoglycemia could be to reduce insulin basal rate a certain time prior to exercise. The objective of this study will be to compare the efficacy of two strategies to prevent exercise-induced hypoglycemia during a 60-minute exercise at moderate intensity: 1) reduce insulin basal rate 40 minutes prior to exercise; 2) reduce insulin basal rate 90 minutes prior to exercise.

03

Conditions studied

  • Type 1 Diabetes Mellitus

Keywords

  • Type 1 diabetes
  • Exercise
  • Hypoglycemia
  • Insulin pump
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Males and females ≥ 14 years of old.
  2. Clinical diagnosis of type 1 diabetes for at least two years.
  3. The subject will have been on insulin pump therapy for at least 3 months.
  4. Last (less than 2 months) ≤ 10%.

Exclusion criteria

Exclusion Criteria:

  1. microvascular complications: nephropathy (estimated below 40 ml/min), neuropathy or severe proliferative retinopathy as judged by the investigator.
  2. Recent (\< 3 months) acute macrovascular event e.g. acute coronary syndrome or cardiac surgery.
  3. Abnormal blood panel and/or anemia.
  4. Ongoing pregnancy.
  5. Severe hypoglycemic episode within two weeks of screening.
  6. Other serious medical illness likely to interfere with study participation or with the ability to complete the exercise periods by the judgment of the investigator (e.g. orthopedic limitation).
  7. Failure to comply with team's recommendations (e.g. not willing to change pump parameters, etc.).
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Participant)
Enrollment
20 participants (estimated)

Study arms

  • Active comparator
    Reduction of insulin basal rate 40 minutes prior to exercise

    Other: Exercise 2 · Device: Dexcom G4 Platinum · Drug: Insulin · Device: Insulin pump

  • Active comparator
    Reduction of insulin basal rate 90 minutes prior to exercise

    Other: Exercise 1 · Device: Dexcom G4 Platinum · Drug: Insulin · Device: Insulin pump

Interventions

  • OtherExercise 1

    Participants will be admitted at the research center at 14:00. At 14:30, participant's insulin basal rate will be reduced by 80%. At 16:00, participants will perform a 60-minute exercise on a stationary bicycle at 60% of their maximal cardiorespiratory capacity (VO2 max). During the exercise period, muscle oxygenation and muscle oxygen extraction will be measure by near infrared spectroscopy. Glucose levels will be measured every 10 minutes during the exercise period. At 17:30, the participant will be discharged.

  • OtherExercise 2

    Participants will be admitted at the research center at 14:00. At 15:20, participant's insulin basal rate will be reduced by 80%. At 16:00, participants will perform a 60-minute exercise on a stationary bicycle at 60% of their maximal cardiorespiratory capacity (VO2 max). During the exercise period, muscle oxygenation and muscle oxygen extraction will be measure by near infrared spectroscopy. Glucose levels will be measured every 10 minutes during the exercise period. At 17:30, the participant will be discharged.

  • DeviceDexcom G4 Platinum

    The Dexcom G4 Platinum will be used to measure continuous glucose levels.

  • Participant's usual fast-acting insulin analog will be used.

  • DeviceInsulin pump

    Participant's insulin pump will be used to infuse insulin.

06

What researchers measure

Primary outcomes

  1. Decrease in glucose levels

    Difference between glucose levels at the beginning of the exercise and the lowest glucose levels from the start of the exercise until the end of exercise

    Time frame: 60 minutes (exercise period)

Secondary outcomes

  1. Percentage of time of glucose levels spent below 4 mmol/L

    Time frame: 60 minutes (exercise period)

  2. Decremental area under the curve of glucose levels

    Time frame: 60 minutes (exercise period)

  3. Area under the curve of glucose levels < 4 mmol/L

    Time frame: 60 minutes (exercise period)

  4. Number of patients with an exercise-induced hypoglycemia < 3.9 mmol/L

    Time frame: 60 minutes (exercise period)

  5. Number of patients with an exercise-induced hypoglycemia < 3.5 mmol/L

    Time frame: 60 minutes (exercise period)

  6. Number of patients requiring an oral treatment for hypoglycemia

    Time frame: 60 minutes (exercise period)

  7. Total number of hypoglycemia episodes requiring treatment

    Time frame: 60 minutes (exercise period)

  8. Percentage of time of glucose levels spent > 10 mmol/L

    Time frame: 60 minutes (exercise period)

  9. Percentage of time of glucose levels spent between 4-10 mmol/L

    Time frame: 60 minutes (exercise period)

  10. Mean time (minutes) to the first hypoglycemic event

    Time frame: 60 minutes (exercise period)

  11. Amount of carbohydrates needed to treat a hypoglycemic event

    Time frame: 60 minutes (exercise period)

  12. Muscle blood flow

    Time frame: 60 minutes (exercise period)

  13. Percentage of time of glucose levels spent between 4 and 10 mmol/L

    Time frame: 4 hours following end of exercise

  14. Percentage of time of glucose levels spent < 4 mmol/L

    Time frame: 4 hours following end of exercise

  15. Percentage of time of glucose levels spent > 10 mmol/L

    Time frame: 4 hours following end of exercise

  16. Area under the curve of glucose levels < 4 mmol/L

    Time frame: 4 hours following end of exercise

  17. Number of patients requiring an oral treatment for hypoglycemia

    Time frame: 4 hours following end of exercise

  18. Total number of hypoglycemia episodes requiring treatment

    Time frame: 4 hours following end of exercise

  19. Total amount of carbohydrates needed to treat hypoglycemic events

    Time frame: 4 hours following end of exercise

  20. Percentage of time of glucose levels spent between 4 and 10 mmol/L

    Time frame: From the end of exercise period to 6:00 next morning (11 hours)

  21. Percentage of time of glucose levels spent < 4 mmol/L

    Time frame: From the end of exercise period to 6:00 next morning (11 hours)

  22. Percentage of time of glucose levels spent > 10 mmol/L

    Time frame: From the end of exercise period to 6:00 next morning (11 hours)

  23. Area under the curve of glucose levels < 4 mmol/L

    Time frame: From the end of exercise period to 6:00 next morning (11 hours)

  24. Number of patients requiring an oral treatment for hypoglycemia

    Time frame: From the end of exercise period to 6:00 next morning (11 hours)

  25. Total number of hypoglycemia episodes requiring treatment

    Time frame: From the end of exercise period to 6:00 next morning (11 hours)

  26. Total amount of carbohydrates needed to treat hypoglycemic events

    Time frame: From the end of exercise period to 6:00 next morning (11 hours)

07

Study locations

2 of 2 sites recruiting
  • McGill University Health Centre
    Montreal, Quebec H4A 3J1, Canada
    Recruiting
  • Institut de recherches cliniques de Montréal
    Montréal, Quebec H2W 1R7, Canada
    Recruiting
08

References and documents

Publications

  • Tagougui S, Legault L, Heyman E, Messier V, Suppere C, Potter KJ, Pigny P, Berthoin S, Taleb N, Rabasa-Lhoret R. Anticipated Basal Insulin Reduction to Prevent Exercise-Induced Hypoglycemia in Adults and Adolescents Living with Type 1 Diabetes. Diabetes Technol Ther. 2022 May;24(5):307-315. doi: 10.1089/dia.2021.0375. Epub 2022 Apr 27. PubMed 35099281 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2018 (actual). Primary completion is estimated for Jan 2019, 8 months after the start.

Of 844 non-industry interventional studies with no phase under Diabetes Mellitus, Type 1, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 38. This study's planned 8 months is below that.

Counting every sponsor, half of 949 studies reached it within 18 months; a quarter within 9 and three quarters within 35.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 17, 2017
First posted
Nov 21, 2017
StartActual
May 18, 2018
Primary completionEst.
Jan 2019
CompletionEst.
Jan 2019
Last update
May 22, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 22, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03349489
Collaborators
Institut de Recherches Cliniques de Montreal
Responsible party
Dr Laurent Legault (MD, FRCP, McGill University Health Centre/Research Institute of the McGill University Health Centre) — Principal investigator
First posted
Nov 21, 2017
Start date
May 18, 2018
Primary completion
Jan 2019 (estimated)
Completion
Jan 2019 (estimated)
Last update
May 22, 2018

Study contacts

Semah Tagougui
Contact
semah.tagougui@ircm.qc.ca
514-987-5500 ext. 3295
Virginie Messier
Contact
virginie.messier@ircm.qc.ca
514-987-5500 ext. 3227
Laurent Legault
principal investigator · Montreal Children's Hospital of the MUHC

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in May 2018. You cannot join it, but the record below documents what was studied.

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