About this trial
The investigators want to study the impact CGM (continuous glucose monitoring) has on patients glycemic control as determined by time in range (TIR 70-180 mg/dL) in the Diabetic Kidney Transplant population.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 or above
Received a kidney transplant within the past year with functioning kidney (eGFR > 30 mL/min
Person with Type 2 Diabetes and on insulin
Access to home wi-fi connection
Disqualifiers
Person with Type 1 Diabetes
Patients taking hydroxyurea
Patient unable to wear the Dexcom G6 device at all times for any reason
Must be able to test blood glucose with meter 4x a day when on blinded CGM.
Trial design
Parallel
Treatments tested in this trial
Dexcom G6
Deviceaccess to continuous glucose monitoring in the Dexcom G6 arm 24/7
Dexcom G6 blinded sensor
Deviceretrospective access to continuous glucose profile after 10 days of wear
Treatment groups
Trial outcomes
Primary outcomes
Time in Range (70-180 mg/dl)
1\) Time in Range: Number of minutes per day or percentage of time that glucose levels are in low (BG\<70), target (BG 70-180), high (BG \>180) or very high (BG\>250) ranges.
Secondary outcomes
Glycemic variability
assessed by the Coefficient of Variation (Glucose standard deviation divided by mean glucose). % CV is a standardized measure that assesses the magnitude of glucose variability
CGM satisfaction questionnaire (10 questions)
score on CGM questionnaire (1 = lowest and 5 = highest)
Adherence to Diabetic Diet
Use of ASA24 online 24 hr dietary recall at 3 times throughout the study
Incidence of all-cause emergency room utilization and rehospitalizations
during the study period (70 days)
Other outcomes
safety endpoint Hypoglycemia
Hypoglycemia risk will be assessed as percentage of time below range (BG\<70 mg/dl) and very low (BG \<54 mg/dl).
Sponsors and contacts
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University of California, Davis
Lead sponsor
DexCom, Inc.
Collaborator