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Automated Insulin for Management of Intrapartum Glycemia

Recruiting

Automated Insulin for Management of Intrapartum Glycemia (AIMING): a Multicenter Randomized Controlled Trial

Who can join

Ages 18 to 55 · Women

Full eligibility criteria
Inclusion Criteria:

* Currently pregnant at ≥ 34 weeks
* Known diagnosis of type 1 diabetes ≥ 1 year
* Use of commercially available AID system since at least 28 weeks gestation
* Singleton pregnancy
* English- or Spanish-speaking

Exclusion Criteria:

* Multifetal gestation
* Planned cesarean delivery
* Use of medications known to interfere with glucose metabolism
* Intrauterine fetal demise
* Physical or psychological disease likely to interfere with the conduct of the study and/or the ability to participate in own healthcare

About the study

The goal of this clinical trial is learn if automated insulin delivery (AID) systems can be used for glucose management during labor/delivery for pregnant people with type 1 diabetes (T1D). The main questions this study aims to answer are

* What are the neonatal glycemic outcomes with use of AID systems during labor/delivery? * Do patients report higher birth satisfaction with use of AID systems during labor/delivery? * Are glycemic parameters like time-in-range (TIR) better with use of AID systems during labor/delivery?

Researchers will compare AID systems to intravenous (IV) insulin (the current standard of care for glucose management during labor/delivery) by randomly assigning participants to one or the other.

What is being tested

Sponsor: University of California, San Francisco · Participants: 150 · Started: Dec 5, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06883344

Locations in the U.S.

CaliforniaUniversity of California, Los Angeles, Los Angeles
University of California, San Diego, San Diego
University of California, San Francisco, San Francisco

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.