About this trial
One third of women with gestational diabetes (GDM), diabetes diagnosed during pregnancy, have abnormal glucose levels within 3 years after pregnancy, but follow up is low. Continuous glucose monitors (CGM), a small sensor inserted under the skin, may be able to screen women with GDM for diabetes risk. The investigators will ask postpartum women to use CGM at 6-8 weeks postpartum and answer surveys about quality of life after wearing the CGM. The investigators will collect data on blood glucose trends for future studies if participants find CGM use acceptable. The investigators hope to learn if CGM could improve postpartum follow up experiences for people with recent GDM.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Women with a viable singleton intrauterine pregnancy
Able to understand the study, and having understood, provide written informed consent in English
Recent pregnancy affected by gestational diabetes
Disqualifiers
Pregestational Diabetes (Type I or Type II)
Continued use of diabetes medications (including metformin and insulin) immediately after delivery
Preterm delivery (< 37 weeks gestation)
Twin or higher order gestation
Trial population
We anticipate enrolling a total of 20 participants with a recent pregnancy affected by GDM
Trial design
Cohort
Prospective
Treatments tested in this trial
Continuous glucose monitor
DeviceCGMs will be worn for a maximum of 10 days at 6-8 weeks postpartum.
Oral Glucose Tolerance Test
Diagnostic testAt 10-12 weeks postpartum, participants will complete an oral glucose tolerance test, which involves drinking a glucose substance and having glucose levels measured a maximum of 3 times.
Hemoglobin A1c
Diagnostic testAt 11-14 months postpartum, participants will be asked to have their blood drawn to check their hemoglobin A1c to look for signs of developed insulin resistance
Treatment groups
Trial outcomes
Primary outcomes
Acceptability of CGM
As determined by survey
Comparative experience of OGTT and CGM
As determined by survey
Secondary outcomes
Prevalence and characteristics of dysglycemia in GDM postpartum
As determined by survey
Lifestyle changes survey
Breastfeeding practices, changes in diet and physical activity
Medical care
Number of doctor's visits (both for participant and their infant), prescribed medications
Other outcomes
Infant outcomes
in-hospital medical record review
Sponsors and contacts
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Ohio State University
Lead sponsor
DexCom, Inc.
Collaborator