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CompletedNCT04369833Updated May 9, 2022Results posted

Development of Continuous Glucose Monitoring System Cohort for Personalized Diabetes Prevention and Management Platform

An observational study in PreDiabetes, Glucose Metabolism Disorders and Diabetes Mellitus, sponsored by Pusan National University Hospital. Completed at 1 site in South Korea. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-05-09.

Sponsored by Pusan National University Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
130
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to collect a variety of clinical data and blood glucose changes using a continuous glucose monitoring device for high-risk diabetes patients (prediabetes) in order to develop a personalized diabetes prevention and management platform based on artificial intelligence model using mathematical analysis.

Read the detailed description

After being informed about the study and potential risks, all patients giving written informed consent wear a continuous glucose monitoring device ("iPro2" professional continuous glucose monitoring, MedtronicⓇ, California, USA) and smart band ("Fitbit Inspire HR", FitbitⓇ, California, USA) for 1 week.

During this period, all patients are tested oral glucose tolerance test and take a standard diet (calorie calculated) at morning.

The patient's data from this study is compared to a predicted values by mathematical analysis model for diabetes prevention.

02

Conditions studied

  • PreDiabetes
  • Glucose Metabolism Disorders
  • Diabetes Mellitus
03

In context

Prediabetic State

1,021 studies on the registry are indexed under Prediabetic State; 242 are open to participants now.

This study's enrollment of 130 is below the median of 207 across 131 observational studies indexed under Prediabetic State.

Browse Prediabetic State studies →

Lead sponsor

Pusan National University Hospital is the lead sponsor of 80 studies on the registry; 8 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
Sampling method
Non-probability sample

Study population

Subjects of pre-diabetes who visited the Department of Internal Medicine and division of Endodrinology \& Metabolism and the Health Examination Center, Pusan National University Hospital

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

  • Above 18 years old.
  • Prediabetes

    1. Fasting plasma glucose : 100\~125mg/dL, fasting is defined as no caloric intake for at least 8 hours.

      OR

    2. 2-hour plasma glucose during 75g oral glucose tolerance test : 140 \~ 199mg/dL

      OR

    3. Glycated hemoglobin(HbA1c) : 5.7\~6.4% (39-47mmol/mol)

Exclusion criteria

Exclusion Criteria:

  • with a history of newly diagnosed and treated cancer within the last 5 years
  • with a history of hospitalization for active disease within the last 3 months
  • with a history of severe cardiovascular disease within the last 3 months
  • with a history of steroid treatment in the last 3 months
  • people who have had major surgery planned within the last 3 months or who have had surgery within 3 months
  • people who are pregnant or have been in the last 3 months after giving birth
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
130 participants (actual)
Target follow-up
7 Days
Patient registry
Yes
Biospecimen retention
Samples without dna

Groups and cohorts

  • continuous glucose monitoring group

    all participants wearing a continuous glucose monitoring device

    Device: continuous glucose monitoring system

Interventions

  • Devicecontinuous glucose monitoring system

    wearing continuous glucose monitoring device (iPro2 professional continuous glucose monitoring, MedtronicⓇ, California, USA)

06

What researchers measure

Primary outcomes

  1. Number of Participants With Insulin Resistance

    the prevalence of insulin resistance in participants was measured. Insulin resistance was calculated by HOMA-IR(homeostatic model assessment of insulin resistance), QUICKI (quantitative insulin sensitivity check index) and Matsuda index

    Time frame: 1 week

07

Results

Posted May 9, 2022

Participant flow

Participant flow — Overall Study
MilestoneContinuous Glucose Monitoring Group
Started130
Completed129
Not completed1

Outcome measures

PrimaryNumber of Participants With Insulin Resistance

the prevalence of insulin resistance in participants was measured. Insulin resistance was calculated by HOMA-IR(homeostatic model assessment of insulin resistance), QUICKI (quantitative insulin sensitivity check index) and Matsuda index

Time frame:
1 week
Reported as:
Count of participants · Participants
Number of Participants With Insulin Resistance
ParticipantsContinuous Glucose Monitoring Group
Number of Participants With Insulin Resistance69

Adverse events

Collected over 1 week. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Continuous Glucose Monitoring Group0/129 (0%)0/129 (0%)1/129 (0.8%)
Most frequent other events
Most frequent other events
EventContinuous Glucose Monitoring Group
bleeding on CGM insertion siteSkin and subcutaneous tissue disorders1/129

Baseline characteristics

Patients who have high risk for developing diabetes with wearing CGM.

Age, Continuous
Age, Continuous(years)Continuous Glucose Monitoring Group
Mean56.6 ± 12.15
Sex: Female, Male
Sex: Female, Male(Participants)Continuous Glucose Monitoring Group
Female96
Male33
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Continuous Glucose Monitoring Group
American Indian or Alaska Native0
Asian129
Native Hawaiian or Other Pacific Islander0
Black or African American0
White0
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Continuous Glucose Monitoring Group
South Korea129
Mean CGM glucose
Mean CGM glucose(mg/dL)Continuous Glucose Monitoring Group
Mean122.6 ± 15.5
the coefficient of variation of CGM glucose
the coefficient of variation of CGM glucose(percentage of coefficient of variation)Continuous Glucose Monitoring Group
Mean19.6 ± 6.4
08

Study locations

1 site
  • Pusan national university hospital
    Busan, 49241, South Korea
09

References and documents

Publications

  • Kang H, Han K, Jo J, Kim J, Choi MY. Systems of pancreatic beta-cells and glucose regulation. Front Biosci. 2008 May 1;13:6421-31. doi: 10.2741/3163. PubMed 18508669 ↗
  • Hansen BC, Jen KC, Belbez Pek S, Wolfe RA. Rapid oscillations in plasma insulin, glucagon, and glucose in obese and normal weight humans. J Clin Endocrinol Metab. 1982 Apr;54(4):785-92. doi: 10.1210/jcem-54-4-785. PubMed 7037815 ↗
  • Lang DA, Matthews DR, Peto J, Turner RC. Cyclic oscillations of basal plasma glucose and insulin concentrations in human beings. N Engl J Med. 1979 Nov 8;301(19):1023-7. doi: 10.1056/NEJM197911083011903. PubMed 386121 ↗
  • Mendes-Soares H, Raveh-Sadka T, Azulay S, Edens K, Ben-Shlomo Y, Cohen Y, Ofek T, Bachrach D, Stevens J, Colibaseanu D, Segal L, Kashyap P, Nelson H. Assessment of a Personalized Approach to Predicting Postprandial Glycemic Responses to Food Among Individuals Without Diabetes. JAMA Netw Open. 2019 Feb 1;2(2):e188102. doi: 10.1001/jamanetworkopen.2018.8102. PubMed 30735238 ↗
  • Kim BY, Won JC, Lee JH, Kim HS, Park JH, Ha KH, Won KC, Kim DJ, Park KS. Diabetes Fact Sheets in Korea, 2018: An Appraisal of Current Status. Diabetes Metab J. 2019 Aug;43(4):487-494. doi: 10.4093/dmj.2019.0067. Epub 2019 Jul 17. PubMed 31339012 ↗
  • Ha KH, Lee YH, Song SO, Lee JW, Kim DW, Cho KH, Kim DJ. Development and Validation of the Korean Diabetes Risk Score: A 10-Year National Cohort Study. Diabetes Metab J. 2018 Oct;42(5):402-414. doi: 10.4093/dmj.2018.0014. Epub 2018 Jul 6. PubMed 30113144 ↗
  • Lee YH, Bang H, Kim HC, Kim HM, Park SW, Kim DJ. A simple screening score for diabetes for the Korean population: development, validation, and comparison with other scores. Diabetes Care. 2012 Aug;35(8):1723-30. doi: 10.2337/dc11-2347. Epub 2012 Jun 11. PubMed 22688547 ↗
  • Zeevi D, Korem T, Zmora N, Israeli D, Rothschild D, Weinberger A, Ben-Yacov O, Lador D, Avnit-Sagi T, Lotan-Pompan M, Suez J, Mahdi JA, Matot E, Malka G, Kosower N, Rein M, Zilberman-Schapira G, Dohnalova L, Pevsner-Fischer M, Bikovsky R, Halpern Z, Elinav E, Segal E. Personalized Nutrition by Prediction of Glycemic Responses. Cell. 2015 Nov 19;163(5):1079-1094. doi: 10.1016/j.cell.2015.11.001. PubMed 26590418 ↗
  • Shapiro ET, Tillil H, Polonsky KS, Fang VS, Rubenstein AH, Van Cauter E. Oscillations in insulin secretion during constant glucose infusion in normal man: relationship to changes in plasma glucose. J Clin Endocrinol Metab. 1988 Aug;67(2):307-14. doi: 10.1210/jcem-67-2-307. PubMed 3292558 ↗
  • Kraegen EW, Young JD, George EP, Lazarus L. Oscillations in blood glucose and insulin after oral glucose. Horm Metab Res. 1972 Nov;4(6):409-13. doi: 10.1055/s-0028-1094019. No abstract available. PubMed 4655495 ↗
  • Simon C, Brandenberger G, Follenius M. Ultradian oscillations of plasma glucose, insulin, and C-peptide in man during continuous enteral nutrition. J Clin Endocrinol Metab. 1987 Apr;64(4):669-74. doi: 10.1210/jcem-64-4-669. PubMed 3102544 ↗

Study documents

  • Protocol and statistical analysis plan · Nov 15, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — The data are not publicly available due to privacy or ethical restrictions.

10

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

Ran from May 2020 to primary completion in Sep 2020, 4 months.

Results were first posted in May 2022, 1 year 7 months after primary completion.

Of 45 non-industry observational studies under Prediabetic State, half reached primary completion within 50 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 186. This study's 4 months is below that.

Counting every sponsor, half of 50 studies reached it within 50 months; a quarter within 24 and three quarters within 186.

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

Registered
Apr 27, 2020
First posted
Apr 30, 2020
StartActual
May 11, 2020
Primary completionActual
Sep 30, 2020
CompletionActual
Sep 30, 2020
Results first posted
May 9, 2022
Last update
May 9, 2022
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 9, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04369833
Lead sponsor
Pusan National University Hospital
Responsible party
Sponsor
First posted
Apr 30, 2020
Start date
May 11, 2020
Primary completion
Sep 30, 2020
Completion
Sep 30, 2020
Results posted
May 9, 2022
Last update
May 9, 2022

Study contacts

Sang soo Kim, Master
principal investigator · Pusan National University Hospital

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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