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RecruitingNCT06468865HypoSurgeUpdated Nov 5, 2024

Glucose Monitoring in Treatment of Postprandial Hypoglycemia After Gastric Bypass Surgery

An interventional study of Continuous glucose monitor (Dexcom® G7) in Hypoglycemia Non-Diabetic and Gastric Bypass Surgery, sponsored by Sykehuset i Vestfold HF. Recruiting at 1 site in Norway. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-05.

Sponsored by Sykehuset i Vestfold HF · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to learn if continuous glucose monitoring works to treat postprandial hypoglycaemia in patients who have undergone gastric bypass surgery. The main question it aims to answer is:

  • Is continuous glucose monitoring superior to usual care for prevention of postprandial hypoglycaemia in patients with verified postprandial hypoglycaemia after gastric bypass surgery?

Researchers will compare continuous glucose monitoring to usual care to see if continuous glucose monitoring works to treat postprandial hypoglycaemia.

Participants will:

  • Use a continuous glucose monitor for 6 weeks or use no continuous glucose monitor for 5 weeks and wear a blinded continuous glucose monitor for 1 week.
  • Visit the clinic 2-3 times and have 2-3 phone consultations.
  • Register symptoms of hypoglycaemia, answer questionnaires, undergo a 24-hour dietary recall interview conducted by a registered dietitian, measure weight and body composition and take blood samples.
02

Conditions studied

  • Hypoglycemia Non-Diabetic
  • Gastric Bypass Surgery

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03

In context

Hypoglycemia

706 studies on the registry are indexed under Hypoglycemia; 94 are open to participants now.

This study's planned enrollment of 100 is above the median of 28 across 534 interventional studies indexed under Hypoglycemia.

Browse Hypoglycemia studies →

Lead sponsor

Sykehuset i Vestfold HF is the lead sponsor of 23 studies on the registry; 5 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
Yes

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

  • Gastric bypass surgery at least 1 year ago
  • Age ≥18 years
  • Symptomatic postprandial hypoglycaemia; capillary glucose level \<3.0 mmol/L 1-4 hours after meals

Exclusion criteria

Exclusion Criteria:

  • Not able to give
  • Reduced compliance due to severe mental and psychiatric conditions
  • Use of insulin or sulfonylureas
  • Use of systemic
  • Primary or secondary adrenal insufficiency
  • Insulinoma
  • Severe heart-, lung, liver- or kidney disease, cancer, malnutrition and other medical conditions causing fragility
  • Performed bariatric revisional surgery
  • Drug- or alcohol abuse
  • Pregnancy
  • Use of acarbose or octreotide in the treatment of postprandial hypoglycemia
  • Use of continuous glucose monitor
Terms in these criteria, in plain language(2)

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.

Informed consent

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Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

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05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Continuous glucose monitor

    The participants will wear a blinded (i.e. glucose levels are not displayed) Dexcom® G7 continuous glucose monitor for one week during the screening week. After the screening week, the patients will be given dietary guidance on how to avoid hypoglycaemia and be given a capillary glucometer (standard treatment procedure). The patients will also use a continuous glucose monitor and receiver which displays real-time glucose levels, for 6 weeks, to learn how to avoid hypoglycaemia.

    Device: Continuous glucose monitor (Dexcom® G7)

  • No intervention
    No continuous glucose monitor

    The participants will wear a blinded (i.e. glucose levels are not displayed) Dexcom® G7 continuous glucose monitor for one week during the screening week. After the screening week, the patients will be given dietary guidance on how to avoid hypoglycaemia and be given a capillary glucometer (standard treatment procedure). The patients will not use a continuous glucose monitor during the following 5 weeks, but during week 6 the patient will wear a blinded continuous glucose monitor.

Interventions

  • DeviceContinuous glucose monitor (Dexcom® G7)

    Continuous glucose monitors measures glucose levels in the interstitial fluid every 5 minutes

06

What researchers measure

Primary outcomes

  1. • Difference between the two treatment arms in change in weekly diurnal time spent with hypoglycaemia (interstitial glucose <3.0 mmol/L) from the screening week to week 6, measured with a continuous glucose monitor.

    Interstitial glucose is measured for one week during the screening week and for one week during week 6.

    Time frame: Screening (week 0) and week 6

Secondary outcomes

  1. • Difference between the two treatment arms in change in weekly diurnal time spent with hypoglycaemia (interstitial glucose <3.9 mmol/L) from the screening week to week 6, measured with a continuous glucose monitor.

    Interstitial glucose is measured for one week during the screening week and one week during week 6.

    Time frame: Screening (week 0) and week 6

  2. • Difference between the two treatment arms in change in weekly time (total and nocturnal) spent with hypoglycaemia (interstitial glucose <3.0 mmol/L and <3.9 mmol/L) from the screening week to week 6, measured with a continuous glucose monitor.

    Interstitial glucose is measured for one week during the screening week and one week during week 6.

    Time frame: Screening (week 0) and week 6

  3. • Difference between the two treatment arms in change in weekly events (diurnal, total and nocturnal) of hypoglycaemia (interstitial glucose <3.0 mmol/L and <3.9 mmol/L) from the sceening week to week 6, measured with a continuous glucose monitor.

    Interstitial glucose is measured for one week during the screening week and one week during week 6.

    Time frame: Screening (week 0) and week 6

07

Study locations

1 of 1 sites recruiting
  • 1Department of Endocrinology, Obesity and Nutrition, Vestfold Hospital Trust
    Tønsberg, Vestfold 3103, Norway
    Recruiting
    • Heidi Borgeraas, PhD · Contactheibor@siv.no · +47 46707000
    • Dag Hofsø, MD, PhD · Contactdag.hofso@siv.no · +47 90591666
    • Heidi Borgeraas, PhD · Principal investigator
    • Dag Hofsø, MD, PhD · Sub investigator
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06468865
Lead sponsor
Sykehuset i Vestfold HF
Responsible party
Heidi Borgeraas (Principal investigator, Sykehuset i Vestfold HF) — Principal investigator
First posted
Jun 21, 2024
Start date
Nov 12, 2024 (estimated)
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Nov 5, 2024

Study contacts

Heidi Borgeraas, PhD
Contact
heibor@siv.no
004746707000

Oversight

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

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