Cy­clist goes global

Southern Gazette (South Perth) - - News -

DE­SPITE liv­ing with type 1 diabetes, for­mer Kent Street High School stu­dent David Nick­els is one step closer to his dream of rid­ing the Tour de France af­ter join­ing a de­vel­op­ment team which will see him race across the world.

DAVID Nick­els took part in an Aus­tralian­first Pre­dic­tive Low Glu­cose Man­age­ment Trial for six months.

Dr Mary Abra­ham said the study fo­cused on the preven­tion of hy­po­gly­caemia (low blood glu­cose.)

“Hypo (low) is com­mon in the day-to-day life of pa­tients with type 1 diabetes and the symp­toms of a low can be dis­tress­ing, em­bar­rass­ing and even rarely, at times, se­vere and life-threat­en­ing,” she said.

“The fear of go­ing low pre­vents pa­tients from im­prov­ing their diabetes con­trol, in­ter­feres with their daily ac­tiv­i­ties and can af­fect qual­ity of life in both pa­tients and their par­ents/care­givers.

“Re­search tar­get­ing to re­duce and pre­vent hy­po­gly­caemia is an im­por­tant tool to en­able pa­tients with type 1 diabetes to live more freely.”

Dr Abra­ham said the Pre­dic­tive Low Glu­cose Man­age­ment sys­tem is for pa­tients on a Medtronic MiniMed 640G in­sulin pump and sen­sor.

“The sys­tem sus­pends in­sulin de­liv­ery in pa­tients when sen­sor glu­cose predicts a low glu­cose.

“By shut­ting down in­sulin de­liv­ery, hy­po­gly­caemia can be avoided.

“Ini­tial hos­pi­tal-based stud­ies found that sys­tem pre­vented hy­po­gly­caemia and fol­low­ing on this hos­pi­tal-based re­search, we moved on to test the sys­tem in real life home trial.”

Dr Abra­ham said the cur­rent on­go­ing trial is de­signed to test the pre­dic­tive low glu­cose sys­tem (also called sus­pend be­fore low) in the Medtronic MiniMed 640G pump.

“We aim to re­cruit 175 par­tic­i­pants across five cen­tres. Par­tic­i­pants are trained to use the Medtronic MiniMed 640G pump and sen­sors.” The study du­ra­tion is for six months.

It is a mul­ti­cen­tre study, with Princess Mar­garet Hos­pi­tal as the lead site.

Pro­fes­sor Tim Jones, head of the en­docrinol­ogy and diabetes depart­ment at PMH, is the chief in­ves­ti­ga­tor on the study.

The re­searchers on the Pre­dic­tive Low Glu­cose Man­age­ment Trial en­cour­aged David to pursue his in­ter­est in pro­fes­sional cy­cling, which saw him se­cure an in­ter­na­tional con­tract to join Team NovoNordisk.

David Nick­els speaks at the launch about his trial ex­pe­ri­ence.

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