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National Trial of CGM in Pregnant Women With Type 2 Diabetes

Not Applicable
Not yet recruiting
Conditions
Type 2 Diabetes
Pregnancy
Registration Number
NCT06903728
Lead Sponsor
Odense University Hospital
Brief Summary

The goal of this clinical trial is to evaluate the use of glucose sensors in pregnant women with type 2 diabetes to improve insulin regulation, pregnancy and birth outcomes, and enhance quality of life and satisfaction with treatment.

The main questions it aims to answer are:

* Does the use of glucose sensors during pregnancy lead to a clinically significant reduction in HbA1c by 0.3% at 36 weeks gestation compared to the control group?

* Does the use of glucose sensors during pregnancy result in a clinically significant reduction in mean SD-score for birth weight deviation in newborns compared to the control group?

Researchers will compare the group of women using glucose sensors during pregnancy to a historical control group receiving routine care to see if the sensor improves pregnancy outcomes, glucose control, and birth weights.

Participants will:

* Use a glucose sensor from before 14 weeks of pregnancy until 4-6 weeks postpartum.

* Receive training on how to use the sensor and access ongoing support as needed.

* Have a follow-up appointment 4-6 weeks postpartum, including a consultation for advice on medical treatment and further management of diabetes after birth.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
Female
Target Recruitment
200
Inclusion Criteria
  • pregnant women with type 2 diabetes
  • attending one of the four centers for pregnancy and diabetes in Denmark
  • 18 years old or above
Exclusion Criteria
  • gestationel age 14+0 or above
  • ekspected birth after end of trial
  • already using a continous glucose monitor (sensor)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
HbA1c at end of pregnancy (week 36 of pregnancy)baseline < week 14 of pregnancy, follow up week 36 of pregnancy
child birth weight SD-scoreat time of birth
Secondary Outcome Measures
NameTimeMethod
Mean glucosefrom enrollment to 4-6 weeks post partum

Sensor specific data

Birth related complicationsat time of birth

c-section, early birth

Problem Areas in Diabetes (PAID)Baseline, week 28, 4-6 weeks post partum

Diabetes stress

TIR, TAR, TBRfrom enrollment to 4-6 weeks post partum

Percentage of time in time in range, time above range and time below range during their pregnancy.

Womens gestational wheight gainfrom enrollment to birth

weight gain during throughout pregnancy

Hypoglykemia among newbornat time of birth

Hypoglykemia among newborn

Pregnancy related complicationsfrom enrollment to birth

increased blood pressure and preeclampsia

World Health Organisation - Five Well-Being Index (WHO-5)Baseline, week 28, 4-6 weeks post partum

quality of life

12-Item Short-Form (SF12)Baseline, week 28, 4-6 weeks post partum

Health status

Patient Assessment of Cronic Illness Care (PACIC)Baseline, week 28, 4-6 weeks post partum

Satisfaction with care

Glucose Monitoring Satisfaction Survey (GMSS)Baseline, week 28, 4-6 weeks post partum

Satisfaction with method used for glucose measuring

Pregnancy Physical Activity Questionnaire (PPAQ-DKBaseline, week 28

Physical activity in pregnancy

Diet items from the National Danish Birth CohortBaseline, week 28

Pregnancy specific questions related to diet

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