Can a simple alarm prevent a deadly complication in type 1 diabetes?

NCT ID NCT07225465

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tests whether using a continuous ketone monitor with a lower alarm threshold (1.0 vs 1.5 mmol/L) can reduce the risk of diabetic ketoacidosis in people with type 1 diabetes who take dapagliflozin, a drug typically used for type 2 diabetes. 115 adults will wear a dual glucose/ketone monitor and take dapagliflozin for 12 weeks. The goal is to find the safest way to use this drug in type 1 diabetes by catching rising ketones early.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Dapagliflozin (Forxiga)

What this could lead to

If successful, this study could help establish safe guidelines for using SGLT2 inhibitors in type 1 diabetes, potentially improving blood sugar control and reducing complications.

What could go wrong

This is a small, early-phase trial (115 participants) and does not yet prove safety or effectiveness. The risk of diabetic ketoacidosis remains a serious concern, and the optimal ketone threshold is still uncertain.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

Ketosis type 1 diabetes mellitus

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Austin Health

    Heidelberg, Victoria, 3084, Australia

    Contact Phone: •••-•••-••••

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Baker Heart and Diabetes Institute

    Melbourne, Victoria, 3004, Australia

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • St Vincent's Hospital Melbourne

    Fitzroy, Victoria, 3065, Australia

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • The Royal Melbourne Hospital

    Parkville, Victoria, 3050, Australia

    Contact Phone: •••-•••-•••• Email: •••••@•••••