Pregnancy and Postpartum CGM in GDM

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18+
SponsorIcahn School of Medicine at Mount Sinai

About this trial

Gestational diabetes (GDM) is one of the most common complications of pregnancy, and up to one third of women with GDM will have abnormal blood sugars after their pregnancy. To screen for abnormal blood sugars, standard of care is a 4-12 week postpartum oral glucose tolerance test (OGTT). However only 17-60% of women actually have this test performed. This study is to assess continuous glucose monitor data from the third trimester and up to 14 days postpartum to find predictors of postpartum OGTT results.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosis of gestational diabetes during current pregnancy

age 18 or older

prescribed Dexcom G7

Disqualifiers

Pregestational diabetes

known skin adhesive allergy which inhibits ongoing use of CGM

chronic oral steroid use.

Trial population

Diagnosis of gestational diabetes during current pregnancy, age 18 or older, and prescribed Dexcom G7

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • continuous glucose monitor

    Device

    All participants who wear CGM

Treatment groups

40 Participants
are divided into 1 treatment group
Group A: Participants with Gestational diabetes GDM1 intervention

Trial outcomes

Primary outcomes

1

Sensitivity of postpartum TIR <96%

Sensitivity of postpartum time in range (TIR) \<96% to predict dysglycemia on OGTT. Range 70-180 mg/dL. Sensitivity determined by true positives of TIR \<96% and abnormal OGTT and false negatives would be TIR \<96% with normal OGTT.

Time frame
up to 12 weeks postpartum

Secondary outcomes

1

Specificity of postpartum TIR <96%

Specificity of postpartum TIR \<96% to predict dysglycemia on OGTT Specificity calculated by true negatives are TIR not \<96% and normal OGTT and false positive are TIR \<96% but normal OGTT results.

Time frame
up to 12 weeks postpartum
2

Experience survey questionnaire

6 items in non validated questionnaire to be administered remotely. first 5 questions rated on a 5 point likert scale. question 6 asks participant to choose preference between glucose sensor or oral glucose tolerance test. Each question evaluated on its own scored 1 (Strongly disagree) to 5 (Strongly Agree). The questions are not summed.

Time frame
up to 12 weeks postpartum

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.