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Trial · NCT02006342

Effectiveness of Subcutaneous Glargine On The Time To Closure of The Anion Gap in Patients Presenting to the Emergency Department With Diabetic Keto-acidosis

NCT02006342, Not applicable, Completed, The University of Texas Health Science Center, Houston; results first posted 2017-05-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Effectiveness of Subcutaneous Glargine On The Time To Closure of The Anion Gap in Patients Presenting to the Emergency Department With Diabetic Keto-acidosis. Trials, record NCT02006342. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02006342

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Effectiveness of Subcutaneous Glargine On The Time To Closure of The Anion Gap in Patients Presenting to the Emergency Department With Diabetic Keto-acidosis
NCT number
NCT02006342
Status
Completed
Phases
Not applicable
Enrollment
40 participants, actual
Lead sponsor
The University of Texas Health Science Center, Houston
Conditions
Diabetic Ketoacidosis
Interventions
Insulin Glargine, Regular Insulin
First posted
2013-12-10
Last updated
2017-05-16
Results first posted
2017-05-16
Limitations and caveats
The study had a limited sample size; therefore, the results cannot definitively answer the research question. Also, because a convenience sample was used, there might be selection bias.

Source ClinicalTrials.gov

Registered outcomes5

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime to Anion Gap ClosureParticipants monitored from hospital admission to discharge, an average of 4 days
Anion Gap is a measure of acidosis that results from decompensated Diabetes Mellitus. Acidosis is the result of the body being unable to utilize glucose for energy production and instead uses fatty acid metabolism resulting in ketone formation. Anion Gap is a surrogate measure for the level of ketones resulting in the excess acid production. Results reported are adjusted for initial anion gap, etiology of diabetic ketoacidosis, and comorbidities.
SecondaryNumber of Participants Admitted to the ICUParticipants followed for the duration of the Emergency Department stay, an expected average of 12 hoursThe goal was to determine if the amount of patients admitted to the ICU could be reduced by providing more efficient resolution of the critical condition which is the acidosis.
SecondaryIntensive Care Unit Length of StayParticipants monitored from hospital admission to discharge, an average of 4 days
Determine the amount of time patient is admitted to the intensive care unit with the goal of assessing if more efficient correction of the acidosis results in decreased time in the intensive care unit for the patients.
SecondaryHospital Length of StayParticipants monitored from hospital admission to discharge, an average of 4 days
Hospital length of stay was determined to assess whether a more efficient correction of the acidosis will result in decreased time that the patient is admitted to the hospital. Results reported are adjusted for age, hospital site, and etiology of diabetic ketoacidosis.
SecondaryNumber of Participants Who Developed HypoglycemiaParticipants monitored during the 24 hours after anion gap closure
To determine whether it is safe to administer both IV and subcutaneous insulin, it is important to assure that patient's glucose does not drop to critically low level and lead to adverse events. Hypoglycemia was defined as less than or equal to 60mg/dL during 24 hours after anion gap closure. Anion Gap is a measure of acidosis that results from decompensated Diabetes Mellitus. Acidosis is the result of the body being unable to utilize glucose for energy production and instead uses fatty acid metabolism resulting in ketone formation. Anion Gap is a surrogate measure for the level of ketones resulting in the excess acid production.

Outcomes5

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime to Anion Gap ClosureParticipants monitored from hospital admission to discharge, an average of 4 daysWhile one participant in the glargine group did not receive glargine, all who were enrolled were analyzed (intention to treat analysis).hoursMEAN
SECONDARYNumber of Participants Admitted to the ICUParticipants followed for the duration of the Emergency Department stay, an expected average of 12 hoursWhile one participant in the glargine group did not receive glargine, all who were enrolled were analyzed (intention to treat analysis).participantsNUMBER
SECONDARYIntensive Care Unit Length of StayParticipants monitored from hospital admission to discharge, an average of 4 daysWhile one participant in the glargine group did not receive glargine, all who were enrolled were analyzed (intention to treat analysis).daysMEDIAN
SECONDARYHospital Length of StayParticipants monitored from hospital admission to discharge, an average of 4 daysWhile one participant in the glargine group did not receive glargine, all who were enrolled were analyzed (intention to treat analysis).daysMEAN
SECONDARYNumber of Participants Who Developed HypoglycemiaParticipants monitored during the 24 hours after anion gap closureWhile one participant in the glargine group did not receive glargine, all who were enrolled were analyzed (intention to treat analysis).participantsNUMBER

Results by group10

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Time to Anion Gap ClosureInsulin Glargine Plus Regular Insulin10.2Standard Error 6.8hours
Time to Anion Gap ClosureControl - Regular Insulin11.6Standard Error 6.4hours
Number of Participants Admitted to the ICUInsulin Glargine Plus Regular Insulin6participants
Number of Participants Admitted to the ICUControl - Regular Insulin4participants
Intensive Care Unit Length of StayInsulin Glargine Plus Regular Insulin1.8Inter-Quartile Range 1.6 to 1.9days
Intensive Care Unit Length of StayControl - Regular Insulin1.2Inter-Quartile Range 0.8 to 1.8days
Hospital Length of StayInsulin Glargine Plus Regular Insulin3.9Standard Error 3.4days
Hospital Length of StayControl - Regular Insulin4.6Standard Error 3.6days
Number of Participants Who Developed HypoglycemiaInsulin Glargine Plus Regular Insulin2participants
Number of Participants Who Developed HypoglycemiaControl - Regular Insulin3participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDInsulin Glargine Plus Regular Insulin20
Overall StudySTARTEDControl - Regular Insulin20
Overall StudyCOMPLETEDInsulin Glargine Plus Regular Insulin19
Overall StudyCOMPLETEDControl - Regular Insulin20
Overall StudyNOT COMPLETEDInsulin Glargine Plus Regular Insulin1
Overall StudyNOT COMPLETEDControl - Regular Insulin0

Adverse events2

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherhypoglycemiaMetabolism and nutrition disordersInsulin Glargine Plus Regular Insulin2202
otherhypoglycemiaMetabolism and nutrition disordersControl - Regular Insulin3203

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityInsulin Glargine Plus Regular Insulin
Total, all-cause mortalityControl - Regular Insulin
Total, other adverse eventsInsulin Glargine Plus Regular Insulin220
Total, other adverse eventsControl - Regular Insulin320
Total, serious adverse eventsInsulin Glargine Plus Regular Insulin020
Total, serious adverse eventsControl - Regular Insulin020

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
17508198BACKGROUNDPubMed
26013711RESULTPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Insulin Glargine Plus Regular Insulin vs Control - Regular Insulin: Number of Participants Who Developed HypoglycemiaTrial comparisons
Insulin Glargine Plus Regular Insulin vs Control - Regular Insulin: Number of Participants Admitted to the ICUTrial comparisons
Insulin Glargine Plus Regular Insulin vs Control - Regular Insulin: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02006342

GET https://conductscience.org/api/trials/v1/NCT02006342/registered