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Pilot Study of Between Visit Interaction to Improve Glycemic Control in Pregnancy With Pre-existing Diabetes

Primary Purpose

Type 1 Diabetes, Pregnancy

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Frequent remote contact between clinic visits.
Sponsored by
Mayo Clinic
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 1 Diabetes, Pregnancy focused on measuring Type 1 diabetes, Pregnancy, Glycemic variability, Between visit contact

Eligibility Criteria

18 Years - 45 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Adult pregnant women with type 1 diabetes utilizing either an insulin pump or multiple daily injection insulin program to manage their diabetes

Inclusion Criteria:

  • Female with type 1 diabetes and pregnancy
  • EDD prior to November 15, 2014
  • 18 years of age and older
  • On insulin pump or multiple daily injection insulin program
  • Signed patient consent form

Exclusion Criteria:

  • Exclusion Criteria:

    • Female with type 1 diabetes and pregnancy under age 18 or older than age 45
    • Female with type 2 diabetes or gestational diabetes and pregnancy

Sites / Locations

  • Mayo Clinic

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Single arm, remote contact.

Arm Description

Between visit remote contact.

Outcomes

Primary Outcome Measures

Glucose variability
Glucose variability represented by multiple measures including mean plasma glucose with standard deviation, high blood glucose index, low blood glucose index and average daily risk range.

Secondary Outcome Measures

Changes is severe hypoglycemia
Severe hypoglycemic events

Full Information

First Posted
December 9, 2014
Last Updated
March 4, 2019
Sponsor
Mayo Clinic
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1. Study Identification

Unique Protocol Identification Number
NCT02315274
Brief Title
Pilot Study of Between Visit Interaction to Improve Glycemic Control in Pregnancy With Pre-existing Diabetes
Official Title
Pilot Study of Between Visit Interaction to Improve Glycemic Control in Pregnancy With Pre-existing Diabetes.
Study Type
Interventional

2. Study Status

Record Verification Date
March 2019
Overall Recruitment Status
Completed
Study Start Date
June 2014 (Actual)
Primary Completion Date
January 2019 (Actual)
Study Completion Date
January 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Mayo Clinic

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Hypothesis: Increased contact with the diabetes care team throughout pregnancy will lead to improved glucose control during pregnancy.
Detailed Description
Patient will have weekly contact through the Mayo Patient On-line Services to send in their blood glucose readings and to receive recommendations back regarding insulin dose changes. Information will be analyzed regarding the magnitude of change in insulin dosing and in glycemic variability.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 1 Diabetes, Pregnancy
Keywords
Type 1 diabetes, Pregnancy, Glycemic variability, Between visit contact

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Patients were provided help with insulin pump and CGM between visits throughout the pregnancy.
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single arm, remote contact.
Arm Type
Experimental
Arm Description
Between visit remote contact.
Intervention Type
Other
Intervention Name(s)
Frequent remote contact between clinic visits.
Intervention Description
Subjects will upload diabetes device data onto websites. Website data will be reviewed by study team who will provide feedback to patients without clinic visits.
Primary Outcome Measure Information:
Title
Glucose variability
Description
Glucose variability represented by multiple measures including mean plasma glucose with standard deviation, high blood glucose index, low blood glucose index and average daily risk range.
Time Frame
Baseline to 9 months
Secondary Outcome Measure Information:
Title
Changes is severe hypoglycemia
Description
Severe hypoglycemic events
Time Frame
up to 9 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult pregnant women with type 1 diabetes utilizing either an insulin pump or multiple daily injection insulin program to manage their diabetes Inclusion Criteria: Female with type 1 diabetes and pregnancy EDD prior to November 15, 2014 18 years of age and older On insulin pump or multiple daily injection insulin program Signed patient consent form Exclusion Criteria: Exclusion Criteria: Female with type 1 diabetes and pregnancy under age 18 or older than age 45 Female with type 2 diabetes or gestational diabetes and pregnancy
Facility Information:
Facility Name
Mayo Clinic
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States

12. IPD Sharing Statement

Links:
URL
https://www.mayo.edu/research/clinical-trials
Description
Mayo Clinic Clinical Trials

Learn more about this trial

Pilot Study of Between Visit Interaction to Improve Glycemic Control in Pregnancy With Pre-existing Diabetes

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