Continuous Glucose Monitoring for Outpatient Diabetes Management After Hospital Discharge

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorVanderbilt University Medical Center

About this trial

This study aims to improve patient awareness of the utility of continuous glucose monitoring systems in blood glucose monitoring and to improve patient satisfaction regarding diabetes care, particularly in the matter of blood glucose monitoring, at the transitions of care from the inpatient setting to the ambulatory setting.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Non-pregnant adults, ages greater than or equal to 18 years, admitted to VUMC

Able to give informed consent

Hyperglycemia requiring insulin therapy including subcutaneous insulin injection or continuous subcutaneous insulin infusion (patient's own insulin pump) during hospitalization and at the time of discharge

POC glucose or venous glucose levels in the 24 hours prior to participation need to be 70-350 mg/dL

Disqualifiers

Currently using Libre 3 Plus or Dexcom G7 CGMS during hospitalization or have used Libre 3 Plus or Dexcom G7 CGMS in the past 3 months

Does not have smartphone compatible with Libre 3 App or Dexcom G7 App

Received chemotherapy during current hospitalization

Planning on major surgery within 10-15 days

Trial design

Design model

Parallel

Treatments tested in this trial

  • Libre 3 Plus Continuous Glucose Monitor

    Device

    Subjects in this arm will start using the Libre 3 Plus continuous glucose monitor.

  • Dexcom G7 Continuous Glucose Monitor

    Device

    Subjects in this arm will start using the Dexcom G7 continuous glucose monitor.

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Libre 3 Plus Continuous Glucose MonitorExperimental treatment 1 intervention
Group B: Dexcom G7 Continuous Glucose MonitorExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Questionnaire responses regarding patient satisfaction and opinion regarding use of continuous glucose monitoring system

Questionnaire responses regarding patient satisfaction and opinion regarding use of continuous glucose monitoring system: regarding how do subjects feel that using CGM impacted their glucose control on a scale of 1-5, with 1=strongly made it worse, 2=somewhat made it worse, 3=did not make it better or worse, 4=somewhat made it better, and 5=strongly made it better?; regarding what is the overall opinion of subject's experience with CGM use on a scale of 1-5, with 1=very negative, 2=negative, 3=neutral, 4=positive, 5=very positive.

Time frame
From enrollment until follow-up telephone visit 2-3 weeks after discharge
2

Questionnaire responses regarding patient satisfaction and opinion regarding quality of diabetes care

Questionnaire responses regarding patient satisfaction and opinion regarding quality of diabetes care: regarding how do subjects feel that using CGM impacted the diabetes care overall on a scale of 1-5, with 1=strongly made it worse, 2=somewhat made it worse, 3=did not make it better or worse, 4=somewhat made it better, and 5=strongly made it better.

Time frame
From enrollment until follow-up telephone visit 2-3 weeks after discharge
3

Questionnaire responses regarding patient familiarity with continuous glucose monitoring

Questionnaire responses regarding patient familiarity with continuous glucose monitoring: regarding degree of familiarity of CGMs in general and the different types of information provided by CGMs, what is the subject's familiarity on a scale of 1-5, with 1=very unfamiliar, 2=unfamiliar, 3=neutral, 4=familiar, 5=very familiar.

Time frame
From enrollment until follow-up telephone visit 2-3 weeks after discharge

Secondary outcomes

1

Degree of Average Change in Hemoglobin A1C from Start to End of Study

Degree of average change in Hemoglobin A1C from start to end of study

Time frame
From enrollment until follow-up telephone visit 2-3 weeks after discharge
2

Degree of Average Change in Glucose Management Indicator (GMI)

Degree of average change in glucose management indicator (GMI)

Time frame
From enrollment until follow-up telephone visit 2-3 weeks after discharge
3

Number of Participants with 30-day Readmissions Related to Glycemic Control

Number of participants with 30-day Readmissions Related to Glycemic Control (hyperglycemia, hypoglycemia, or diabetic ketoacidosis)

Time frame
From enrollment until follow-up telephone visit 2-3 weeks after discharge

Other outcomes

Sponsors and contacts

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