Successfully Achieving and Maintaining Euglycemia During Pregnancy for Type 2 Diabetes Through Technology and Coaching
Pre-Gestational Diabetes, Type2diabetes, Pregnancy in Diabetic
About this trial
This is an interventional treatment trial for Pre-Gestational Diabetes focused on measuring mHealth, Pregnancy, Type 2 diabetes, Continuous glucose monitoring, Mobile application, Medicaid, Glycemic control
Eligibility Criteria
Inclusion Criteria: pregnant individuals age ≥18 years; ≤20 weeks of gestation; diagnosis of pregestational T2D and A1c ≥6.5% at the time of study enrollment; Medicaid insurance; English or Spanish speaking; cognitively able to complete the study requirements; consent to all study activities; accessible for participation in study activities; use a smartphone with internet access; not currently using a CGM device. Participants must also consent to the study team abstracting information from their electronic health records (EHRs), using CGM for glucose monitoring if randomized to the intervention group, tracking the participants' clinic, hospital, and emergency room visits during the study period, as well as tracking the number of times the participants use the ACHIEVE mobile health (mHealth) application (app), including what activities are used in the mobile application (e.g., recording blood glucose, scheduling appointments, messaging their healthcare providers, accessing educational resources).
Sites / Locations
- The Ohio State University Wexner Medical Center OB/GYN Maternal and Fetal Medicine
Arms of the Study
Arm 1
Arm 2
Active Comparator
No Intervention
ACHIEVE Intervention
Standard of care
The intervention includes a multi-component, including a mobile health (mHealth) application (app), provider dashboard, DEXCOM continuous glucose monitoring (CGM), and care team coaching for medical and social needs. The intervention group will also receive standard of care as described below.
Standard of care includes prenatal visits, self-monitored blood glucose, and certified diabetes care and education specialist support.