Screening visit | Baseline visit | Randomisation (t=0) | HARPdoc /BGAT week 1 | HARPdoc /BGAT week 2 | HARPdoc /BGAT week 3 | HARPdoc week 4 and week 5 | HARPdoc /BGAT week 6 | F/U 1 03/12 | F/U2 06/12 | F/U 3 12/12 | F/U 4 18/12 | F/U 5 24/12 | |
Visit no. | 1 | 2 | N/A | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
Week | 0 to −26 | −4 to −1 | −1 to 0 | 1 | 2 | 3 | 4 and 5 | 6 | 12 | 26 | 52 | 78 | 104 |
One to one or group | |||||||||||||
Duration | 2 hour | 2 hour | N/A | Day | Day | Day | 1 hour | Day | 2 hour | 2 hour | 2 hour | 2 hour | 2 hour |
Patient information and informed consent | X | ||||||||||||
Diabetes and other medical history | X | ||||||||||||
Physical examination | X | ||||||||||||
Gold Score | X | X | X | X | X | X | X | ||||||
Modified Clarke score | X | X | X | X | X | X | X | ||||||
DAFNE hypo awareness tool | X | X | X | X | X | X | X | ||||||
Severe and moderate hypoglycaemia rate | X | X | X | X | X | X | X | ||||||
Documentation of treatment regimen | X | X | X | X | X | X | X | ||||||
2 week SMBG download | X | X | X | X | X | X | X | ||||||
Blood sample for local HbA1c | X | X | X | X | X | X | X | ||||||
Blood sample for central HbA1c | X | X | X | ||||||||||
Blood sample for liver, renal, thyroid function, coeliac screen, cortisol, growth hormone and IGF-1 | X | ||||||||||||
Questionnaire pack on hypoglycaemia, diabetes behaviours and QoL | X | X | X | ||||||||||
Online blinded CGM | X | X | X | ||||||||||
Randomisation | X | ||||||||||||
Notes | May occur in one visit if screening is within 1 month of start of course (ie, within the baseline window). | Occurs within 1 month of the course start date. | For each visit, 6-week window on either said of the due date except visit 12 where an 8-week window period on either side is acceptable. |
BGAT, Blood Glucose Awareness Training; DAFNE, Dose Adjustment for Normal Eating; F/U, follow up; HARPdoc, Hypoglycaemia Awareness Restoration Programme for People with Type 1 Diabetes and Problematic Hypoglycaemia Persisting Despite Optimised Self-care; IGF1, Insulin like growth factor 1; QoL, Quality of life; SMBG, Self Monitoring of Blood Glucose