Continuous Glucose Monitoring (CGM) After Kidney Transplantation

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorBo Feldt-Rasmussen

About this trial

This study examines glucose levels measured by continuous glucose monitoring (CGM) in the immediate period following kidney transplantation among recipients with diabetes, without diabetes, and with pre-diabetes.

The primary objective is to analyse differences in mean sensor glucose between these three groups.

CGMs are applied to participants within 72 hours after kidney transplantation, with a total of 54 participants divided equally across the three groups (18 in each).

Secondary objectives include assessing additional glucose profile indices, adherence to relevant guidelines, changes in HbA1c, the impact of immunosuppression and steroid dosage, and beta cell function.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Written informed consent obtained before CGM application

Male or female; age: ≥18 years

Kidney transplantation

Disqualifiers

Unable to cooperate to CGM the first ten days after surgery

Allergic to plasters in CGM units

Combined kidney and liver or pancreatic transplantation

Graft loss/rejection within first 48 hours after transplantation

Trial population

Adult kidney transplant recipients at Rigshospitalet, Copenhagen, Denmark

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

54 Participants
are grouped into 3 trial groups
Group A: Diabetes
Group B: No diabetes
Group C: Prediabetes

Trial outcomes

Primary outcomes

1

Difference in Mean Sensor Glucose

Mean sensor glucose (mmol/L) evaluated by CGM

Time frame
10 days

Secondary outcomes

1

Time in range (%)

Time within 3.9-10.0 mmol/L as evaluated by CGM

Time frame
10 days
2

Compliance with applicable guideline (%)

Based on capillary blood glucose (mmol/L) and daily insulin dose (IE per day)

Time frame
10 days
3

Time in hypoglycaemia (%)

Time in level 1 (3.0-3.8 mmol/L) and level 2 (below 3.0 mmol/L\]) evaluated by CGM

Time frame
10 days
4

Time in tight glycaemic range (%)

Time in 3.9-7.8 mmol/L evaluated by CGM

Time frame
10 days

Other outcomes

1

HbA1c

Changes in HbA1c (mmol/mol and %) 10-14 days after kidney transplantation

Time frame
10 days
2

Daily dose of immunosuppressant

prednisone, tacrolimus, cyclosporine, mycophenolate mofetil

Time frame
10 days
3

HOMA

HOMA calculated from fasting glucose (mmol/L) and fasting plasma insulin (pmol/L) at time of transplantation and 10-14 days after kidney transplantation

Time frame
10 days

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Bo Feldt-Rasmussen

Lead sponsor

Rigshospitalet, Denmark

Sponsor institution