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CGM for Management of Type 2 Diabetes in Pregnancy

Recruiting

Continuous Glucose Monitoring for Management of Type 2 Diabetes in Pregnancy

Who can join

Ages 18 to 50 · Women

Full eligibility criteria
Inclusion Criteria:

* Type 2 diabetes mellitus treated with daily insulin injections or oral hypoglycemic agents diagnosed before pregnancy or at less than 14 weeks gestation with hemoglobin A1c 6.5% or greater
* Pregnant with viable fetus at 6 to less than 23 weeks gestation
* Maternal age 18-50 years old

Exclusion Criteria:

* Unable or unwilling to wear CGM due to intolerance to medical-grade adhesives or skin conditions
* Multiple gestation
* Major fetal anomaly or two or more minor fetal anomalies
* Planned delivery outside study consortium
* Participating in another conflicting interventional study
* Participation in this trial in a previous pregnancy
* Patient unable to consent
* Physician refusal for other reasons

About the study

The goal of this clinical trial is to learn if continuous glucose monitoring works better than self-monitoring of blood glucose (fingersticks) to treat type 2 diabetes in pregnancy. It will also learn about all risk factors (biologic, personal, social) for maternal and infant complications in type 2 diabetes pregnancies. The main questions it aims to answer are:

1. Does continuous glucose monitoring improve infant outcomes compared to self-monitoring of blood glucose? 2. Does continuous glucose monitoring improve maternal diabetes control and other maternal outcomes compared to self-monitoring of blood glucose? 3. What other factors increase the risk of maternal and infant complications?

Participants will:

1. Use continuous glucose monitoring or self-monitoring of blood glucose to monitor blood sugar control from enrollment until delivery 2. Have blood drawn at enrollment, 24 weeks, 34 weeks and delivery to measure hemoglobin A1c levels and store blood for future analysis 3. Complete surveys about social support, environmental stressors, diabetes distress and glucose monitoring satisfaction at research visits 4. Have umbilical cord blood collected at delivery for analysis

What is being tested

Sponsor: University of Alabama at Birmingham · Participants: 564 · Started: Apr 8, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06628453

Locations in the U.S.

AlabamaUniversity of Alabama at Birmingham, Birmingham
CaliforniaUniversity of California at San Diego, San Diego
North CarolinaUniversity of North Carolina - Chapel Hill, Chapel Hill
OregonOregon Health and Science University, Portland
PennsylvaniaUniversity of Pennsylvania, Philadelphia
South CarolinaPrisma Health Greenville Memorial Hospital, Greenville
TexasUniversity of Texas Health Science Center at Houston, Houston

Conditions

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.