Postoperative Basal Bolus or Sliding Scale Insulin Regimen in DM2 and Its Effect on Surgical Site Infections.

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorAbraham Hulst, MD, PhD

About this trial

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.

Eligibility criteria

Qualifiers

Patients aged 18 or older

Diagnosed with type 2 diabetes mellitus

Undergoing gastointestinal or vascular surgery

Admitted to one of the participating surgical wards

Disqualifiers

Diagnosed with type 1 diabetes mellitus

Female of child-bearing potential who is pregnant or breastfeeding.

Undergoing complete pancreatectomy

Undergoing bariatric surgery

Trial design

Treatments tested in this trial

  • Basal bolus insulin regimen

Treatment groups

1,008 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Abraham Hulst, MD, PhD

Lead sponsor

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Sponsor institution

ZonMw: The Netherlands Organisation for Health Research and Development

Collaborator