4T Sustainability Program
NCT06314048 · Status: ENROLLING_BY_INVITATION · Type: OBSERVATIONAL · Enrollment: 5000
Last updated 2025-05-21
Summary
The goal of the 4T program is to implement proven methods and emerging diabetes technology into clinical practice to sustain tight glucose control from the onset of type 1 diabetes (T1D) and optimize patient-reported and psychosocial outcomes. The investigators will expand the 4T (Teamwork, Targets, Technology, and Tight Control) program to all patients seen at Stanford Pediatric Diabetes Endocrinology as the standard of care. Disseminating the 4T program as the standard of care will optimize the benefits of diabetes technology by lowering HbA1c, improving PROs, and reducing disparities.
Conditions
- Type1diabetes
Interventions
- OTHER
-
CGM and RPM
1\. Implement the 4T program as standard of care at Stanford Diabetes clinics, including Continuous Glucose Monitoring (CGM) and Remote Patient Monitoring (RPM) within the first 30 days after T1D diagnosis to reduce the rise in HbA1c trajectory observed 4-12 months post-diagnosis.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
David M Maahs, MD, PhD · Stanford University
Eligibility
- Min Age
- 6 Months
- Max Age
- 21 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-05-30
- Primary Completion
- 2027-01-31
- Completion
- 2028-01-31
Countries
- United States
Study Locations
More Related Trials
-
Closed-loop Glucose Control for Automated Management of Type 1 Diabetes
NCT00811317 ·Status: COMPLETED ·Phase: NA
-
Starting Technology in At Risk Type 1 Diabetes Study
NCT06453928 ·Status: RECRUITING ·Phase: NA
-
Time Limited Eating in Type 1 Diabetes
NCT05031429 ·Status: COMPLETED ·Phase: NA
-
Effects of a Remote Patient Monitoring Protocol on Glycemic Control in Adolescents With Type 1 Diabetes
NCT03466398 ·Status: WITHDRAWN ·Phase: NA
-
Closing the Loop in Adults With Type 1 Diabetes
NCT00910767 ·Status: COMPLETED ·Phase: NA
-
Feasibility Study of a Continuous Glucose-Ketone Monitoring Device in People With Type 1 Diabetes
NCT06977633 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Diabetes Pump With Predictive Low Glucose Suspend Pivotal Trial
NCT03195140 ·Status: COMPLETED ·Phase: NA
-
Medtronic Treat to Range (TTR) Closed-Loop Control
NCT01490151 ·Status: COMPLETED ·Phase: NA
-
Closing the Loop in Young Children With Type 1 Diabetes
NCT01557634 ·Status: UNKNOWN ·Phase: PHASE2
-
Technology Knowledge Optimization in Type 1 Diabetes (TeKnO T1D): Parents
NCT05300022 ·Status: WITHDRAWN ·Phase: NA
-
Dual-hormone Closed-loop Glucose Control in Type 1 Diabetes
NCT04053712 ·Status: COMPLETED ·Phase: PHASE4
-
Supporting Parents of Young Children With Type 1 Diabetes in Closed-Loop System
NCT03354286 ·Status: COMPLETED ·Phase: NA
-
CGM Intervention in Teens and Young Adults With Type 1 Diabetes (T1D)
NCT03263494 ·Status: COMPLETED ·Phase: PHASE3
-
Glucose Counterregulation in Long Standing Type 1 Diabetes
NCT01474889 ·Status: COMPLETED ·Phase: NA
-
Achieving Rapid, Safe and Sustained Glucose Control in Adolescents With Suboptimally Controlled Type 1 Diabetes Using Advanced Hybrid Closed Loop Systems
NCT06305377 ·Status: NOT_YET_RECRUITING
-
Closing the Loop in Adults With Type 1 Diabetes in the Home Setting
NCT01440140 ·Status: COMPLETED ·Phase: PHASE2
-
Hybrid Closed Loop in High Risk Youth With Type 1 Diabetes
NCT04807374 ·Status: COMPLETED ·Phase: NA
-
Accelerometer Use in the Prevention of Exercise-Associated Hypoglycemia in Type 1 Diabetes: Outpatient Exercise Protocol
NCT02047643 ·Status: COMPLETED ·Phase: NA
-
Safety and Feasibility of a Low Carbohydrate Diet in Children With Type 1 Diabetes
NCT04228822 ·Status: COMPLETED ·Phase: NA
-
Real-time Adaptation to Changes in Insulin Sensitivity
NCT01261052 ·Status: COMPLETED ·Phase: PHASE2
-
Use of Control-IQ Technology 2.0 in Adults, Children, and Preschoolers With Type 1 Diabetes
NCT05683392 ·Status: COMPLETED ·Phase: NA
-
Control-IQ Technology 2.0 Adult and Adolescent Feasibility Study
NCT05014789 ·Status: COMPLETED ·Phase: NA
-
Trial of Early Initiation of CGM-Guided Insulin Therapy in Stage 2 T1D
NCT04335513 ·Status: UNKNOWN ·Phase: NA
-
Improved Glycemic Control in Adult Subjects With Type 1 Diabetes on MDI Using Insulin Guidance Software
NCT00552734 ·Status: COMPLETED
-
Omnipod Horizon™ Automated Glucose Control System Preschool Cohort
NCT04476472 ·Status: COMPLETED ·Phase: NA