Comparison of Two Management Systems in Patients With Type 1 Diabetes (Pediatric SmartHome)
Patient Care, Drug Therapy
About this trial
This is an interventional treatment trial for Patient Care focused on measuring pediatrics, type 1 diabetes, insulin pump, closed loop
Eligibility Criteria
Inclusion Criteria:
General Inclusion Criteria
- At time of screening: Subjects who are 2-14 years are determined by the investigator to be psychologically sound (e.g. no depression, anxiety disorder, traumatic stress disorder) in order to successfully participate in this study
Subject has been diagnosed with type 1 diabetes ≥ 1 year Study-specific inclusion criteria
Subjects will be considered for enrollment in the study if they meet all of the following criteria:
- Subjects who are 2-14 years are determined by the investigator to have the appropriate, requisite support (family, caregiver or social network) to successfully participate in this study
- Subject is willing to wear the system continuously throughout the study
- Subject is willing to perform required sensor calibrations
- Total daily dose of Insulin >8 U
- Subject has an A1C value < 12.0% (as processed by Laboratory) at time of screening visit
- Subject must be on Pump therapy for >3 months prior to Screening
- Subject may also be on sensor augmented pump therapy.
- If subject has celiac disease it has been adequately treated as proven by Transglutamase-Antibodies in normal range
Exclusion Criteria:
- Event of severe hypoglycemia in past 3 months (as per ISPAD Guideline Definition 2014: seizure or loss of consciousness.)
- Subject is unable to tolerate tape adhesive in the area of sensor placement
- Subject has any unresolved adverse skin condition in the area of sensor placement (e.g., psoriasis, rash, Staphylococcus infection)
- Women of child-bearing potential who have a positive pregnancy test at screening or plan to become pregnant during the course of the study
- Subject has had any of the following new diagnoses within 1 year of screening: myocardial infarction, unstable angina, coronary artery bypass surgery, coronary artery stenting, transient ischemic attack, cerebrovascular accident, angina, congestive heart failure, ventricular rhythm disturbances or thromboembolic disease
- Subject has a clinical significant abnormality (out of reference range, as processed by Laboratory) in thyroid-stimulating hormone (TSH) at time of screening visit
- Subjects suffering from Morbus Addison, heart failure >NYHA II, chronic pulmonal disease >GOLD II, chronic arterial insuffiency, known cancer disease, diabetic kidney disease, diabetic autonom or peropheral neuropathy
- Subject tests positive in the drug screen
- Subject has taken any oral, injectable, or IV steroids within 8 weeks prior time of screening visit, or plans to take any oral, injectable, or IV steroids during the course of the study; furthermore patients using antipsychotic drugs, antidepressive, ß-blocking agents are not permitted to participate
- Subject is actively participating in an investigational study (drug or device) wherein he/she has received treatment from an investigational study drug or investigational study device in the last 4 weeks
- Subject is currently abusing illicit drugs
- Subject is currently abusing prescription drugs
- Subject is currently abusing alcohol
- Subject is using pramlintide (Symlin) at time of screening
- Subject has a history of visual impairment which would not allow subject to participate in the study and perform all study procedures safely, as determined by the investigator
- Subject has elective surgery planned that requires general anesthesia during the course of the study
- Subject has a sickle cell disease, hemoglobinopathy; or has received red blood cell transfusion or erythropoietin within 3 months prior to time of screening
- Subject plans to receive red blood cell transfusion or erythropoietin over the course of study participation
- Subject diagnosed with current eating disorder such as anorexia or bulimia
- Subject has been diagnosed with chronic kidney disease that results in chronic anemia
- Subject is on dialysis
- Subjects known for factitial hypoglycemia or possible suicidal tendencies.
- Patients who are unwilling or unable to perform a minimum of four blood glucose tests per day.
- People who are unwilling or unable to maintain contact with their healthcare professional.
Patients whose vision or hearing does not allow cognition of pump signals and alarms.
Sites / Locations
- Kinder - und Jugendkrankenhaus AUF DER BULT
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Therapy with Hybrid Closed Loop (HCL)
Sensor Augmented Pump (SAP) therapy
The Intervention is the specific function of the Insulin Pump from Medtronic® with the name "MiniMed® 670G (MMT-1780)" to deliver Insulin as medication. This Medtronic MiniMed 670G Insulin Pump in Auto Mode is an Hybrid closed loop (HCL) system including an Auto Mode function. It provides as intervention several additional effects concerning automatically insulin delivery by pump: e.g. in case of high values (or predicted) - more insulin will be administered automatically, in case of low values (or predicted) - the insulin infusion will be decreased a suspended and resumed again. The patients will wear the pump continuously.
The Intervention is the specific therapy of the Sensor Augmented Insulin Pump "MiniMed® 670G" (MMT-1780) without Auto Mode. This Medtronic MiniMed 670G Insulin Pump without Auto Mode' is a Sensor Augmented Pump (SAP) therapy and means the addition of alerts according to high or low glucose values as well as trend arrows showing actual glucose trends to pump therapy. The patients will wear the pump also continuously, but have to respond manually after the alarm. There are no automatically steps from the pump.