Evidence-informed Lifestyle Interventions to Improve Glycemic Parameters and Reduce Gestational Diabetes in High-risk Pregnant Individuals
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Gestational Diabetes
- Sponsor
- Indiana University
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Time spent in euglycemia
- Status
- Not Yet Recruiting
- Last Updated
- 4 months ago
Overview
Brief Summary
The goal of this study is assess the impact of a higher intensity dietary and activity counseling program to improve blood sugar control and reduce the chance of developing gestational diabetes (GDM) as compared to the current standard diet and activity counseling.
Detailed Description
GDM is associated with adverse maternal and newborn outcomes, as well as potential lifelong consequences. Currently, clinical guidelines recommend screening for pre-existing Type 2 diabetes mellitus at new obstetric visits for individuals at high risk of developing GDM. For those who do not screen positive, but still may be at risk for GDM, standard practice is for basic diet, exercise, and weight gain counseling. In this study, eligible participants will be randomized into one of two groups: usual care with standard diet and exercise counseling or a GDM prevention program that consists of a more intensive exercise and monitoring program. All participants will be asked to wear an activity tracker and continuous glucose monitors (CGMs) at specified time points throughout their pregnancy. Blood will be drawn at specified time points to measure hemoglobin A1c, lipids, and HOMA-IR measures.
Investigators
David Haas
Munsick Professor of Obstetrics and Gynecology
Indiana University
Eligibility Criteria
Inclusion Criteria
- •Gestational age less or equal to 16 + 6 weeks confirmed via ACOG dating guidelines AND one of the following
- •35 years of age or older
- •Family history of first degree relative with diabetes mellitus
- •Body Mass Index (BMI) greater than or equal to 30
- •Hemoglobin A1c value between 5.9% to 6.4%
Exclusion Criteria
- •Multiple gestations
- •Current diagnosis of Type 1 or 2 diabetes mellitus including a diagnosis during this pregnancy
- •Pre-pregnancy chronic (\>2 weeks) usage of systemic steroids (inhaled and short term usage acceptable)
- •Planned pregnancy termination
- •Currently taking or took 3 months prior to conception Metformin
- •Unable to provide informed consent in English or Spanish
- •Major fetal anomalies listed below that are known prior to enrollment.
- •Major fetal anomalies:
- •Congenital diaphragmatic hernia
- •Congenital cystic adenomatoid malformation
Outcomes
Primary Outcomes
Time spent in euglycemia
Time Frame: 7 days per month
percentage of time in a day spent in euglycemia