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N/A N=105 Randomized Treatment

A Study on the Use of Real -Time Continuous Glucose Monitoring (RT-CGM) in Gestational Diabetes

Gestational Diabetes

Enrolled (actual)
105
Serious AEs
0.0%
Results posted
Jun 2025
Primary outcome: Primary: Mean Glucose — 103.0; 106.2 mg/dl

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Continuous glucose monitor (Device)
Age
Pediatric, Adult, Older Adult
Sex
Female
Sponsor
University of Washington
Primary completion
Oct 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Glucose
103.0; 106.2
PRIMARY
TIR CGM
92.1; 92.4
SECONDARY
Fetal Birthweight
3309.5; 3198.2
SECONDARY
TBR CGM GDM
1.5; 0.4
SECONDARY
TAB CGM GDM
6.4; 7.1
SECONDARY
MAGE CGM
33.9; 34.0
SECONDARY
SD CGM
18.6; 18.8
SECONDARY
CV CGM
18.1; 17.6
SECONDARY
Neonatal Hypoglycemia
0; 4
SECONDARY
Gestational Age at Delivery
39.0; 38.5
SECONDARY
Mode of Delivery
9; 15; 12; 29; 0; 0
SECONDARY
Type of Labor
11; 21; 2; 9; 8; 14
SECONDARY
Shoulder Dystocia
0; 0
SECONDARY
Preeclampsia or HTN
2; 7
SECONDARY
Maternal Weight Gain
21.1; 18.9
SECONDARY
Diabetes Medication Use
2; 10
SECONDARY
5 Minute Apgar
9; 9
SECONDARY
Live Birth or Stillbirth
21; 48; 0; 0
SECONDARY
Birthweight Ratio
1.015; 0.99
SECONDARY
NICU Admission
1; 3
SECONDARY
Neonatal Complications
1; 1; 0; 0; 0; 0
SECONDARY
Glucose Meter Fingerstick Per Day
3.4; 0.9
SECONDARY
Mean Days of RT-CGM Use
64.4
SECONDARY
A1c
5.4; 5.4
SECONDARY
Fructosamine
191.9; 194.7
SECONDARY
Short Food Questionnaire
3.8; 5.7
SECONDARY
WHO QOL Scale
16.2; 15.3
SECONDARY
Diabetes Distress(PAID) Survey
7.0; 8.9
SECONDARY
Walking Time Physcial Active Questionnaire
95; 100
SECONDARY
Metformin Only Use
4; 8
SECONDARY
Insulin Use Only
1; 14
SECONDARY
Insulin Use Only
1; 14
SECONDARY
Diabetes Medication Use Delivery
2; 11
SECONDARY
Metformin Use Only at Delivery
3; 7

Summary

The purpose of this study is to examine whether RT-CGM (real time continuous glucose monitoring) use improves glucose control, maternal outcomes, and fetal outcomes in patients diagnosed with gestational diabetes. Currently, there is very limited data on whether RT-CGM use helps patients diagnosed with gestational diabetes. By conducting this study, the investigator hopes to develop a deeper understanding of how use of a RT-CGM may affect glucose control in the gestational diabetes population.

Eligibility Criteria

Inclusion Criteria

  • Pregnancy and Gestation < 30 weeks
  • Singleton pregnancy
  • Confirmed gestational diabetes (by 75g or 100g oral glucose tolerance test or HbA1c)
  • Able to read English and completed 6th grade
  • Is able to read, understand, and sign the Informed Consent Form (ICF) and if applicable, an Authorization to Use and Disclose Protected Health Information form (consistent with Health Insurance Portability and Accountability Act of 1996 [HIPAA] legislation), communicate with the investigator, and understand and comply with protocol requirements

Exclusion Criteria

  • Pre-gestational Type 1 or Type 2 diabetes.
  • Newly diagnosed overt-diabetes in pregnancy [HbA1c ≥ 48 mmol/mol (6.5%), fasting glucose ≥ 7.0 mmol/l, random glucose ≥ 11.1 mmol/l].
  • Pregnancies with established fetal anomalies (aside from echogenic intracardiac foci and/or renal pyelectasis) or possible preterm delivery secondary to maternal disease besides GDM
  • Known endogenous/exogenous Cushing's syndrome
  • Known chronic infections
  • Current use of any oral form of steroid medication
  • Already receiving continuous glucose monitoring (CGM)
  • History of bariatric surgery
  • Gestational Age less than 14 weeks -
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04803357). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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