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Sponsors and Collaborators: |
University Medical Centre Groningen Martini Hospital Groningen |
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Information provided by: | University Medical Centre Groningen |
ClinicalTrials.gov Identifier: | NCT00541372 |
For the administration of insulin, different needles are available with a length from 5 to 12.7mm. Insulin injections with a needle of 8 mm is injected in a lifted skinfold, a 5 mm needle can by used without lifting a skinfold (1). In the Netherlands obese people (BMI ≥ 30) are usually advised to use an 8mm or even longer needle
(1). Increased BMI and the thickness of the subcutaneous tissue slow insulin absorption (2, 3, 4), possibly related to reduced subcutaneous blood flow. Furthermore, the capillaries are located just under the skin and between the fat and muscle layer. This could possibly determine the absorbing speed (2). It is not know if the administration of insulin with a 5mm needle by obese people has a different influence on the HbA1c compared to longer needles. The hypothesis of this study is that for the purpose of insulin injections, a 5 mm needle can be used without negative effects on metabolic parameters in patients with Diabetes Mellitus (DM) and a Body Mass Index (BMI) ≥ 30.
Condition | Intervention | Phase |
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Diabetes Mellitus |
Device: insulin injection needle size |
Phase IV |
Study Type: | Interventional |
Study Design: | Supportive Care, Randomized, Open Label, Active Control, Crossover Assignment, Efficacy Study |
Official Title: | The Influence of the Needle Length on Long Term Glycaemic Control in Insulin Using Obese Diabetic Subjects |
Estimated Enrollment: | 130 |
Study Start Date: | September 2007 |
Study Completion Date: | March 2009 |
Primary Completion Date: | March 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Experimental
Needle 5 mm
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Device: insulin injection needle size
The intervention in this study is a specific needle with a length of 5 mm and 8 mm to be used with an insulin pen.
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2: Active Comparator
Needle length 8 mm
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Device: insulin injection needle size
The intervention in this study is a specific needle with a length of 5 mm and 8 mm to be used with an insulin pen.
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Ages Eligible for Study: | 18 Years to 80 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Male and female adult patients diagnosed with type 1 and type 2 diabetes mellitus, treated with insulin injections for at least one year and:
Exclusion Criteria:
Patients who:
Netherlands | |
University Medical Centre Groningen | |
Groningen, Netherlands |
Principal Investigator: | Bruce HR Wolffenbuttel, MD PhD | University Medical Centre Groningen |
Responsible Party: | Univ Med Ctr Groningen ( B.H.R. Wolffenbuttel ) |
Study ID Numbers: | BWO-07001 |
Study First Received: | October 9, 2007 |
Last Updated: | March 13, 2009 |
ClinicalTrials.gov Identifier: | NCT00541372 History of Changes |
Health Authority: | Netherlands: Dutch Health Care Inspectorate |
Obesity Hypoglycemic Agents Metabolic Diseases Diabetes Mellitus Endocrine System Diseases |
Endocrinopathy Glucose Metabolism Disorders Metabolic Disorder Insulin |
Hypoglycemic Agents Metabolic Diseases Physiological Effects of Drugs Diabetes Mellitus |
Endocrine System Diseases Glucose Metabolism Disorders Pharmacologic Actions Insulin |