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The Effect of Continuous Glucose Monitoring on Glycemic Control and Pregnancy Outcomes in Gestational Diabetes Mellitus

Phase 4
Conditions
Continuous Glucose Monitoring
Gestational Diabetes
Interventions
Device: Continuous Glucose Monitoring System
Registration Number
NCT03955107
Lead Sponsor
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
Brief Summary

The purpose of this study is to determine if Continuous glucose monitoring improves glycemic control and pregnancy outcomes of Gestational Diabetes Mellitus

Detailed Description

Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance that is first identified during pregnancy, excluding diabetic patients diagnosed before pregnancy. The purpose of this study is to determine if Continuous glucose monitoring improves glycemic control and pregnancy outcomes of Gestational Diabetes Mellitus.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
154
Inclusion Criteria
  • women with gestational diabetes
  • 18-45 years old
  • 24-28 weeks gestation of pregnancy
  • singleton pregnancy
  • BMI≥18kg/m2
Exclusion Criteria
  • pregestational type 1 or 2 diabetes mellitus
  • aged <18 or >45 years
  • BMI<18kg/m2
  • multiple pregnancy
  • Cushing's syndrome/ using exogenous steroids
  • chronic infection ( HIV, Hepatitis B/C, Tuberculosis)
  • any active chronic systemic disease ( except essential hypertension)
  • Severe liver and kidney dysfunction

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Continuous Glucose Monitoring SystemContinuous Glucose Monitoring System-
Primary Outcome Measures
NameTimeMethod
time in range at Week 8 after enrollmentat Week 8 after enrollment

time in range of CGMS at Week 8 after enrollment

Secondary Outcome Measures
NameTimeMethod
the level of HbA1c before delivery37 weeks of gestation

the level of HbA1c before delivery in two groups

adverse pregnancy outcomes3 month

adverse pregnancy outcomes (preterm, macrosomia, greater than gestational age, less than gestational age, compound end point (birth injury, neonatal hypoglycemia, hyperbilirubinemia, apgar score \< 7 within 5 minutes of birth, neonatal phototherapy, neonatal respiratory distress syndrome

the incidence of hypoglycemic events14 weeks

the incidence of hypoglycemic events (blood glucose \<3.3mmol/L, with or without hypoglycemic symptoms) during the follow-up period of patients in the two groups

Trial Locations

Locations (1)

Shanghai First People's Hospital, Shanghai Jiao Tong University 100 Haining Road,Shanghai

🇨🇳

Shanghai, Shanghai, China

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