Strict Versus Permissive Thresholds for Initiation of Pharmacotherapy in Gestational Diabetes
NCT06419777 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 430
Last updated 2024-11-21
Summary
The aim of our study is to compare neonatal and maternal outcomes using different thresholds for the initiation and titration of pharmacotherapy for gestational diabetes (GDM). Our goal is to compare a strict and permissive threshold. The strict threshold is defined as two abnormal values or more over a one-week period (two fasting values elevated, two of the same post prandial values elevated, or 1 fasting and 1 post prandial value elevated), whereas the permissive threshold is defined as 50% of values elevated over 1 week (50% of overall fasting values, 50% of postprandial values, or 50% of overall values).
Conditions
- Gestational Diabetes
- Pregnancy Related
Interventions
- DRUG
-
Insulin will be used in gestational diabetics to control blood glucose levels
Sponsors & Collaborators
-
University of Rochester
collaborator OTHER -
Thomas Jefferson University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-09-01
- Primary Completion
- 2026-05-31
- Completion
- 2026-05-31
Countries
- United States
Study Locations
More Related Trials
-
Treatment of Impaired Glucose Tolerance in Pregnancy
NCT00625781 ·Status: COMPLETED ·Phase: NA
-
Medical Nutrition Therapy Combined With TPF-DM in Pregnant Women With Gestational Diabetes Mellitus
NCT03957603 ·Status: COMPLETED ·Phase: NA
-
Intrapartum Glucose Management Among Women With Gestational Diabetes Mellitus
NCT02596932 ·Status: COMPLETED ·Phase: NA
-
Universal Hemoglobin A1c Versus Risk-based Screening for Early Gestational Diabetes Mellitus (EARLY GDM): A Randomized Controlled Trial
NCT06190405 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effectiveness of Metformin Compared to Insulin in Pregnant Women With Mild Preexisting or Early Gestational Diabetes
NCT00835861 ·Status: COMPLETED ·Phase: PHASE2
-
Diagnostic Analysis of Oral Glucose Tolerance Test in Early Pregnancy for Gestational Diabetes Mellitus
NCT05487352 ·Status: UNKNOWN
-
Immediate Postpartum Glucose Tolerance Testing
NCT04199676 ·Status: RECRUITING
-
Failure Rate of GLyburide And Metformin Among Gestational Diabetics
NCT03078725 ·Status: WITHDRAWN ·Phase: PHASE4
-
Towards Precision Medicine for Diabetes in Pregnancy
NCT05932251 ·Status: SUSPENDED
-
Patient Versus Provider-led Titration of Insulin for Glycemic Control in Gestational Diabetes (EMPOWER)
NCT05922033 ·Status: COMPLETED ·Phase: PHASE4
-
GDM: Insulin with or Without Metformin?
NCT06781775 ·Status: RECRUITING ·Phase: PHASE4
-
Glycemic Profile in Women With Gestational Diabetes Treated With Glyburide
NCT01947699 ·Status: WITHDRAWN ·Phase: PHASE4
-
Carbohydrate Restriction for Gestational Diabetes Mellitus
NCT00911404 ·Status: COMPLETED ·Phase: NA
-
Gestational Diabetes Mellitus (GDM) in Pregnant Women
NCT05265741 ·Status: UNKNOWN
-
One Step Versus Two Step Approach for Gestational Diabetes Mellitus Screening
NCT03073330 ·Status: UNKNOWN ·Phase: NA
-
Wenzhou Gestational Diabetes Cohort
NCT05794152 ·Status: RECRUITING ·Phase: NA
-
Treatment of Mild Gestational Diabetes With Glyburide Versus Placebo
NCT00744965 ·Status: COMPLETED ·Phase: PHASE4
-
Gestational Diabetes Diagnostic Methods
NCT01540396 ·Status: COMPLETED ·Phase: NA
-
Early Gestational Diabetes Mellitus
NCT04451915 ·Status: UNKNOWN ·Phase: NA
-
Early Screen and Treatment for Gestational Diabetes
NCT02377531 ·Status: UNKNOWN ·Phase: NA
-
Glycemic Control Using Insulin Levemir Versus Insulin NPH for Diabetes in Pregnancy
NCT01837680 ·Status: COMPLETED ·Phase: NA
-
Food Product for Management of Gestational Diabetes
NCT05917808 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of the Gestational Diabetes Self-Management Education Program and Quality Improvement Plan
NCT01030744 ·Status: WITHDRAWN
-
Gestational Diabetes Mellitus Trial (GDM)
NCT00069576 ·Status: COMPLETED ·Phase: NA
-
Impact of Blood Glucose at the First Trimester of Pregnant Women With Gestational Diabetes on Maternal and Fetal Outcomes and Metabolic Disorders: a Multi-central Prospective Cohort Study
NCT01833559 ·Status: UNKNOWN ·Phase: NA