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CTRI Number  CTRI/2025/08/093514 [Registered on: 22/08/2025] Trial Registered Prospectively
Last Modified On: 22/08/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Diagnostic 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of continuous v/s conventional blood glucose monitoring in children with diabetic ketoacidosis- 
Scientific Title of Study   Comparison of continuous v/s conventional blood glucose monitoring in children with diabetic ketoacidosis-A Open label Randomized control Trial-(COCO Glu Trial) 
Trial Acronym  COCO Glu Trial 
Secondary IDs if Any  
Secondary ID  Identifier 
COCO Glu Trial  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Jyothi Naik 
Designation  Associate Professor Department of paediatrics 
Affiliation  Aiims mangalagiri 
Address  Aiims Mangalagiri
Department of paediatrics, Guntur, Andhra Pradesh
Guntur
ANDHRA PRADESH
522503
India 
Phone  07022530440  
Fax    
Email  naikpuja8@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jyothi Naik 
Designation  Associate Professor Department of paediatrics 
Affiliation  Aiims mangalagiri 
Address  Aiims Mangalagiri
Department of paediatrics, Guntur, Andhra Pradesh
Guntur
ANDHRA PRADESH
522503
India 
Phone  07022530440  
Fax    
Email  naikpuja8@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jyothi Naik 
Designation  Associate Professor Department of paediatrics 
Affiliation  Aiims mangalagiri 
Address  Aiims Mangalagiri
Department of paediatrics, Guntur, Andhra Pradesh
Guntur
ANDHRA PRADESH
522503
India 
Phone  07022530440  
Fax    
Email  naikpuja8@gmail.com  
 
Source of Monetary or Material Support  
AIIMS MANGALAGIRI 
 
Primary Sponsor  
Name  DR JYOTHI NAIK 
Address  Aiims mangalagiri  
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Jyothi Naik  All india institute of medical sciences  AIIMS MANGALAGIRI, Guntur, Andhra Pradesh Department of paediatrics room 3rd floor opd block room number 326
Guntur
ANDHRA PRADESH 
07022530440

naikpuja8@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee aiims mangalagiri  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E101||Type 1 diabetes mellitus with ketoacidosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Continuous glucose monitoring   continuous glucose monitoring in children with diabetic ketoacidosis aged 5 to 14 years using CGM machine 
Comparator Agent  Conventional blood glucose monitoring   standard method of capillary blood glucose testing using glucometer in children with diabetic ketoacidosis aged 5 to 14 years 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  14.00 Year(s)
Gender  Both 
Details  All children in age group 5-14 years with moderate to severe DKA admitted to PICU 
 
ExclusionCriteria 
Details  1. known comorbid diseases(cardiac,,CKD,neurological disease)
2.Presence of haemodynamic instability or multi organ failure
3.known allery or contraindication to GCM sensor
4.subjects who have not given consent 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Accuracy of glucose monitoring
Agreement between CGM values and standard lab venous values 
Time in range during DKA management0-6 hours after starting insulin 6-12 hours 12 hours to biochemical resolution target range of 150-200mg/dl 
 
Secondary Outcome  
Outcome  TimePoints 
detection of hypoglycemia & hyperglycemia
number of blood glucose measurements required
time of resolution of dka
length of hospital stay
 
time in range during management
0 to6 hoursafter starting insulin
6 to 12 hours
12 hours biochemical resolution of diabetic ketoacidosis
first 24 hours after resolusion
 
 
Target Sample Size   Total Sample Size="27"
Sample Size from India="27" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/10/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   We aim to compare continuous verses conventional blood glucose monitoring in children with diabetetic ketoacidosis an open label randomized trial .There are few studies examining the use of CGM inchildren with DKA in this part of the country . We are evaluating feasibility and acceptabilityof CGM device in paediatric population with DKA While CGM shows promise  for enhancingglucose monitoring during paediatric DKA it has not been validated. By futher research we would like to explore avenues in its accuracy,feasibility ,reliability and safety inthis critical setting compared to POCT glucose monitoring methods 
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