ClinicalTrials.gg
Not yet recruitingNCT07821814Updated Sep 16, 2026

Leukocyte Glucose Index and Severity of Diabetic Ketoacidosis

An observational study in Diabetic Ketoacidosis and Diabetes Mellitus, sponsored by Assiut University. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by Assiut University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
120
Ages
18 Years and older
Sex
All
01

Study summary

This prospective cohort study aims to evaluate the relationship between admission Leukocyte Glucose Index (LGI) and the severity of diabetic ketoacidosis, as well as the presence of diabetic microvascular complications, among adult patients at Assiut University Hospitals.

Read the detailed description

Diabetic ketoacidosis is a serious acute complication of diabetes. The Leukocyte Glucose Index (LGI), calculated from admission leukocyte count and blood glucose, is a simple biomarker that may help early risk stratification.

This observational study will include adult patients presenting with diabetic ketoacidosis. LGI will be calculated at admission. DKA severity will be classified as mild, moderate, or severe according to ADA criteria. Diabetic microvascular complications (nephropathy, retinopathy, and neuropathy) will be assessed.

02

Conditions studied

  • Diabetic Ketoacidosis
  • Diabetes Mellitus

Keywords

  • Leukocyte Glucose Index
  • Diabetic ketoacidosis
  • LGI
  • DKA severity
  • Microvascular complications
03

In context

Diabetic Ketoacidosis

76 studies on the registry are indexed under Diabetic Ketoacidosis; 17 are open to participants now.

This study's planned enrollment of 120 is above the median of 100 across 29 observational studies indexed under Diabetic Ketoacidosis.

Browse Diabetic Ketoacidosis studies →

Lead sponsor

Assiut University is the lead sponsor of 5,078 studies on the registry; 2,178 are open to participants now.

Of its 14 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

Adult patients presenting with diabetic ketoacidosis to the Internal Medicine Department and Emergency Department of Assiut University Hospitals.

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

  • - Age 18 years or older
  • Known diabetes mellitus or newly diagnosed diabetes presenting with DKA
  • Fulfilling accepted clinical and biochemical diagnostic criteria for diabetic ketoacidosis
  • Written

Exclusion criteria

Exclusion Criteria:

  • - Active infection or sepsis judged likely to substantially influence leukocyte count independently of DKA
  • Hematological or disorder affecting leukocyte count
  • Recent chemotherapy, G-CSF, or other treatment markedly altering leukocyte count
  • Pregnancy
  • Concurrent acute inflammatory or disease likely to affect inflammatory indices
  • Systemic use before presentation when
  • Incomplete clinical or laboratory data preventing LGI calculation or DKA severity assessment
  • Refusal to participate
Terms in these criteria, in plain language(5)

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

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Corticosteroids (steroids)

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

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
120 participants (estimated)
Target follow-up
7 Days
Patient registry
Yes

Groups and cohorts

  • Single cohort: Adults with diabetic ketoacidosis

    Adult patients presenting with diabetic ketoacidosis who will have Leukocyte Glucose Index calculated at admission and will be assessed for DKA severity and microvascular complications.

06

What researchers measure

Primary outcomes

  1. DKA severity according to admission LGI

    Proportion of patients with mild, moderate, and severe diabetic ketoacidosis according to admission Leukocyte Glucose Index (LGI) categories. LGI is calculated as leukocyte count (10³/µL) × blood glucose (mg/dL) / 1000.

    Time frame: Baseline

Secondary outcomes

  1. Mean LGI according to DKA severity

    Mean admission Leukocyte Glucose Index value in patients with mild, moderate, and severe diabetic ketoacidosis.

    Time frame: Baseline

  2. Prevalence of microvascular complications according to LGI

    Proportion of patients with diabetic nephropathy, retinopathy, or peripheral neuropathy according to admission LGI categories.

    Time frame: Baseline

  3. Correlation of LGI with biochemical severity markers

    Correlation coefficient between admission LGI and venous pH, serum bicarbonate, and anion gap, using Spearman or Pearson correlation as appropriate.

    Time frame: Baseline

  4. Discriminatory performance of LGI for severe DKA

    Area under the ROC curve, sensitivity, and specificity of admission LGI for identifying severe diabetic ketoacidosis.

    Time frame: Baseline

  5. Hospital outcomes

    Mean time to DKA resolution (hours) and length of hospital stay (days).

    Time frame: Up to 7 days

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Yu S, Long F, Wei X, Gu H, Hao Z. Myeloid PGGT1B Deficiency Promotes Psoriasiform Dermatitis by Promoting the Secretion of Inflammatory Factors. Int J Mol Sci. 2025 May 20;26(10):4901. doi: 10.3390/ijms26104901. PubMed 40430037 ↗
  • Xiong R, Liu A, Xu D, Qu C, Wu Y. A New Heavy-Duty Bearing Degradation Evaluation Method with Multi-Domain Features. Sensors (Basel). 2024 Dec 4;24(23):7769. doi: 10.3390/s24237769. PubMed 39686307 ↗
  • Persson J, Steglich B, Smialowska A, Boyd M, Bornholdt J, Andersson R, Schurra C, Arcangioli B, Sandelin A, Nielsen O, Ekwall K. Regulating retrotransposon activity through the use of alternative transcription start sites. EMBO Rep. 2016 May;17(5):753-68. doi: 10.15252/embr.201541866. Epub 2016 Feb 22. PubMed 26902262 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07821814
Lead sponsor
Assiut University
Responsible party
heba helal farag (Resident Physician, Assiut University) — Principal investigator
First posted
Sep 16, 2026
Start date
Sep 10, 2026 (estimated)
Primary completion
Sep 10, 2027 (estimated)
Completion
Mar 1, 2028 (estimated)
Last update
Sep 16, 2026

Study contacts

Heba H farag, Resident
Contact
Heba.17289965@med.aun.edu.eg
01110892460
Mahmoud M Ashry, prof
study chair · Internal Medicine Department, Assiut University Hospitals

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion