Use of CGM in Kidney Transplant Recipients

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of California, Davis

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Dexcom G6

    Device

    access to continuous glucose monitoring in the Dexcom G6 arm 24/7

  • Dexcom G6 blinded sensor

    Device

    retrospective access to continuous glucose profile after 10 days of wear

Treatment groups

80 Participants
are divided into 2 treatment groups
Group A: Continuous glucose monitoring (CGM)Active comparator 1 intervention
Group B: Self monitoring of blood glucose (fingersticks)Placebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

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.

Time frame
70 days

Secondary outcomes

1

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

Time frame
70 days
2

CGM satisfaction questionnaire (10 questions)

score on CGM questionnaire (1 = lowest and 5 = highest)

Time frame
up to 70 days
3

Adherence to Diabetic Diet

Use of ASA24 online 24 hr dietary recall at 3 times throughout the study

Time frame
up to 70 days
4

Incidence of all-cause emergency room utilization and rehospitalizations

during the study period (70 days)

Time frame
70 days

Other outcomes

1

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).

Time frame
70 days

Sponsors and contacts

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