Peking University Third Hospital
Beijing, Beijing Municipality, 100191, China
Location status: Recruiting
Location contact
Wang Haining, PhD
CONTACT
NCT Number: NCT05947916
The prevalence of type 2 diabetes mellitus (T2DM) in women of childbearing age is increasing rapidly, and low glucose compliance leads to an increased risk of adverse pregnancy outcomes for mothers and infants during pregnancy in women with T2DM. Real-time continuous glucose monitoring (CGM) is an important tool for glucose monitoring and patient education, as it can continuously record blood glucose throughout the day and provide real-time feedback on high and low blood glucose levels. This is a multicenter, open-label, randomized controlled clinical study to investigate the efficacy, safety, and maternal and infant pregnancy outcomes of using real-time CGM monitoring compared with conventional self-monitoring of blood glucose (SMBG) on the basis of multidisciplinary management in pregnant women with T2DM. One hundred and twenty pregnant women with T2DM in early pregnancy who were enrolled in intensive insulin therapy were randomly divided into the real-time CGM group and the conventional SMBG group. The real-time CGM intervention group wore real-time CGM for more than 50% of the pregnancy in addition to regular SMBG; the control group only performed regular SMBG. Both groups wore Medtronic iPro 2 for 3 days in early, mid and late pregnancy, and the time in the target range of blood glucose (TIR) was recorded in a blinded manner. Primary outcome: differences in TIR between the two groups of pregnant women in early, mid, and late pregnancy. Secondary outcomes included differences in glycated hemoglobin, hypoglycemia, insulin dose before delivery, pregnancy weight gain, and maternal and infant pregnancy outcomes.
Interested in participating?
Request Info18 year–40 year
Female
Interventional
Not applicable
Beijing, Beijing Municipality, 100191, China
Location status: Recruiting
Wang Haining, PhD
CONTACT
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
The intervention group wore real-time CGM (120 cases) to monitor blood glucose, and was required to use real-time-CGM more than 50% of the time every 4 weeks, the more the better.
Time frame: 24-28 weeks (second trimester), 34-38 weeks (2 weeks before delivery)
The iPro2 device was used to calculate TIR(the control range of blood glucose during pregnancy was 3.5-7.8mmol/L), and the average value of TIR obtained from two measurements was used as the main outcome index.
Time frame: 24-28 weeks (second trimester), 34-38 weeks (2 weeks before delivery)
The data were recorded via iPro2(the time above control range of blood glucose during pregnancy)
Time frame: 24-28 weeks (second trimester), 34-38 weeks (2 weeks before delivery)
The data were recorded via iPro2 (the time below control range of blood glucose during pregnancy)
Time frame: 24-28 weeks (second trimester), 34-38 weeks (2 weeks before delivery)
The data were recorded via iPro2.
Time frame: 24-28 weeks (second trimester), 34-38 weeks (2 weeks before delivery)
The data were recorded via iPro2.
Time frame: 24-28 weeks (second trimester), 34-38 weeks (2 weeks before delivery)
The data were recorded via iPro2.
Time frame: 24-28 weeks (second trimester), 34-38 weeks (2 weeks before delivery)
The data were recorded via iPro2.
Time frame: 24-28 weeks (second trimester), 34-38 weeks (2 weeks before delivery)
The data were recorded via iPro2.
Time frame: 24-28 weeks (second trimester), 34-38 weeks (2 weeks before delivery)
The data were recorded via iPro2.
Time frame: From enrollment to 42 weeks gestation
Number of patient-reported severe hypoglycemic events (hypoglycemic events requiring assistance) from enrollment to 42 weeks of gestation.
Time frame: From enrollment to 42 weeks gestation
(a) Number of patient-reported severe hypoglycemic events (hypoglycemic events requiring assistance) from enrollment to 42 weeks of gestation; (b) Number of mild hypoglycemic (<3.5 mmol/l) and moderate hypoglycemic (<2.8 mmol/L) events detected by patient self-monitoring from enrollment to 42 weeks of gestation (c) Area under the curve for mild hypoglycemia (<3.5 mmol/l) and moderate hypoglycemia (<2.8 mmol/L) at 24, 28 and 34 weeks of gestation as indicated by the ambulatory glucose monitoring device; (d) Area under the curve for mild hypoglycemia (<3.5 mmol/l) and moderate hypoglycemia (<2.8 mmol/L) at night (23:00-7:00) as indicated by the ambulatory glucose monitoring device at 24, 28 and 34 weeks of gestation.
Time frame: From enrollment to 42 weeks gestation
Number of moderate hypoglycemic (<2.8 mmol/L) events detected by patient self-monitoring from enrollment to 42 weeks of gestation; Area under the curve for moderate hypoglycemia (<2.8 mmol/L) at 24, 28 and 34 weeks of gestation as indicated by the ambulatory glucose monitoring device; (d) Area under the curve for moderate hypoglycemia (<2.8 mmol/L) at night (23:00-7:00) as indicated by the ambulatory glucose monitoring device at 24, 28 and 34 weeks of gestation.
Time frame: From enrollment to 42 weeks gestation
Number of mild hypoglycemic (<3.5 mmol/l) events detected by patient self-monitoring from enrollment to 42 weeks of gestation (c) Area under the curve for mild hypoglycemia (<3.5 mmol/l) at 24, 28 and 34 weeks of gestation as indicated by the ambulatory glucose monitoring device; (d) Area under the curve for mild hypoglycemia (<3.5 mmol/l) at night (23:00-7:00) as indicated by the ambulatory glucose monitoring device at 24, 28 and 34 weeks of gestation.
Time frame: At 4 weeks after enrollment, 24, 28, 34 weeks gestation and 6 weeks postpartum.
the whole day dose of insulin
Time frame: From enrollment to 42 weeks gestation
The absolute value of maternal weight gain during pregnancy
Time frame: During delivery
Glycosylated hemoglobin during delivery
Time frame: During delivery
Glycosylated albumin during delivery
Time frame: 6 weeks postpartum.
Includign gestational hypertension, preeclampsia/eclampsia, Cesarean section rate, puerperal infection.
Time frame: From enrollment to 6 weeks postpartum.
Including abortion (less than 28 weeks gestation), stillbirth and neonatal death.
Time frame: During delivery
Apgar score at birth, range from 0-10, evaluated activity, pulse, grimace, appearance, respiration. Score 8 to 10 is classified as no asphyxia, 4 to 7 is mild asphyxia, 0 to 3 is severe asphyxia
Time frame: 6 weeks postpartum.
Intravenous glucose infusion is required.
Time frame: 6 weeks postpartum.
The length of a newborn is treated in the neonatal intensive care unit (NICU)
Time frame: During delivery
The incidence of preterm delivery (28-37 weeks gestation at birth), full-term delivery (37-42 weeks gestation at birth), and overdue delivery (more than 42 weeks gestation at birth).
Time frame: During delivery
Macrosomia (birth weight greater than 4000 g) or fetal growth restriction (birth weight less than 2500)
Time frame: From birth to discharge.
Including neonatal birth injury, shoulder dystocia, neonatal jaundice, neonatal respiratory distress syndrome (RDS).
Time frame: From enrollment to 6 weeks postpartum.
Outpatient and emergency treatment of patients for any reason (except planned follow-up), record the number of visits, cause, diagnosis and corresponding treatment.
Time frame: From enrollment to 6 weeks postpartum.
Medication other than insulin during pregnancy.
Time frame: From enrollment to 6 weeks postpartum.
Adverse events other than those described above.
Contact information is provided by the study sponsor or research team.
Peking University Third Hospital
Other
Effect of Real Time Continuous Glucose Monitoring System on Management of Women With Type 2 Diabetes Mellitus During Pregnancy in a Multidisciplinary Comprehensive System
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