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Two Insulin Plans After Surgery and Wound Infections in Type 2 Diabetes

Compares two insulin plans after surgery in adults with type 2 diabetes.

Plain-language title generated from the registry record
Registry title: Postoperative Basal Bolus or Sliding Scale Insulin Regimen in DM2 and Its Effect on Surgical Site Infections.

Key facts

Where
Amsterdam, NetherlandsSee the site

Where in Netherlands

  • Amsterdam UMCAmsterdam, NetherlandsTaking people

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Trial details

Who runs it
Abraham Hulst, MD, PhD
Trial code
NCT06638567
Record updated
30 January 2025
Original description
A multicentre, matched-pair, cluster randomised controlled superiority trial to investigate the effect of a proactive basal bolus insulin regimen compared to the reactive sliding scale insulin regimen, targeting a glucose level of 3.9-10.0 mmol/L, to reduce the number of surgical site infections within the first 30 days postoperatively in adult patients with diabetes mellitus type 2.Read full original descriptionShow less

Postoperative Glucose Control with a Basal Bolus Versus Sliding Scale Insulin Regimen and Its Effect on the Incidence of Surgical Site Infections in People with Type 2 Diabetes Mellitus.

A multicentre, matched-pair, cluster randomised controlled superiority trial to investigate the effect of a proactive basal bolus insulin regimen compared to the reactive sliding scale insulin regimen, targeting a glucose level of 3.9-10.0 mmol/L, to reduce the number of surgical site infections within the first 30 days postoperatively in adult patients with diabetes mellitus type 2.

Inclusion: Patients aged 18 or older; Diagnosed with type 2 diabetes mellitus; Undergoing gastointestinal or vascular surgery; Admitted to one of the participating surgical wards; Expected duration of stay at least one overnight stay; Willing and able to provide informed consent.

Exclusion: Undergoing bariatric surgery; Diagnosed with type 1 diabetes mellitus; Female of child-bearing potential who is pregnant or breastfeeding; Undergoing complete pancreatectomy; Patients using a continuous insulin pump at home; Patients undergoing a necrotectomy/wound debridement from a pre-existent wound.

ClinicalTrials.gov NCT06638567