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Technology & Coaching for Diabetes in Pregnancy
N/A
Waitlist Available
Led By Joshua J Joseph, MD
Research Sponsored by Ohio State University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Pregnant individuals age ≥18 years
Diagnosis of pregestational T2D and A1c ≥6.5% at the time of study enrollment
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 3 times in the first six weeks and then monthly during study participation, which is approximately from 12 weeks to 38 weeks gestation or 26 weeks total.
Awards & highlights
Study Summary
This trial will study if an app and coaching can help pregnant women with diabetes better control their blood sugar. We expect a 25% increase in the proportion who reach the target.
Who is the study for?
This trial is for pregnant individuals over 18 with Type 2 Diabetes, an A1c ≥6.5%, and Medicaid insurance. They must use a smartphone, speak English or Spanish, consent to health record access and study activities including using a CGM device if assigned. Participants should be ≤20 weeks pregnant and not currently using a CGM.Check my eligibility
What is being tested?
The trial tests whether a mobile health app linked to continuous glucose monitoring (CGM) and care team coaching can better control blood sugar levels compared to standard prenatal visits and self-monitoring. The goal is achieving hemoglobin A1c <6.5% in the third trimester of pregnancy.See study design
What are the potential side effects?
Potential side effects may include skin irritation from the CGM device, stress or anxiety from constant glucose monitoring, privacy concerns with data sharing through the app, and possible over-reliance on technology for diabetes management.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am pregnant and 18 years old or older.
Select...
I was diagnosed with type 2 diabetes before pregnancy and my A1c level is 6.5% or higher.
Select...
I am mentally capable of following the study's procedures.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ across pregnancy from randomization to delivery, which is approximately from 12 weeks to 38 weeks gestation or 26 weeks total
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~across pregnancy from randomization to delivery, which is approximately from 12 weeks to 38 weeks gestation or 26 weeks total
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
The primary clinical outcome is the proportion of participants with an A1c <6.5% in the third trimester before delivery
Secondary outcome measures
Blood glucose levels
Comprehension of education material
Diabetes Distress Scale (DDS)
+19 moreTrial Design
2Treatment groups
Active Control
Group I: ACHIEVE InterventionActive Control4 Interventions
The intervention includes a multi-component, including a mobile health (mHealth) application (app), provider dashboard, DEXCOM continuous glucose monitoring (CGM), and care team coaching for medical and social needs. The intervention group will also receive standard of care as described below.
Group II: Standard of careActive Control1 Intervention
Standard of care includes prenatal visits, self-monitored blood glucose, and certified diabetes care and education specialist support.
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Who is running the clinical trial?
Ohio State UniversityLead Sponsor
829 Previous Clinical Trials
505,619 Total Patients Enrolled
5 Trials studying Diabetes
272 Patients Enrolled for Diabetes
Agency for Healthcare Research and Quality (AHRQ)FED
399 Previous Clinical Trials
6,822,224 Total Patients Enrolled
15 Trials studying Diabetes
26,249 Patients Enrolled for Diabetes
DexCom, Inc.Industry Sponsor
137 Previous Clinical Trials
29,728 Total Patients Enrolled
15 Trials studying Diabetes
3,728 Patients Enrolled for Diabetes
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Eligibility Criteria:
This trial includes the following eligibility criteria:- I am pregnant and 18 years old or older.I was diagnosed with type 2 diabetes before pregnancy and my A1c level is 6.5% or higher.You are not currently using a continuous glucose monitoring (CGM) device.I am mentally capable of following the study's procedures.I speak English or Spanish.I can attend all required study activities.I am less than or equal to 20 weeks pregnant.
Research Study Groups:
This trial has the following groups:- Group 1: ACHIEVE Intervention
- Group 2: Standard of care
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Are there opportunities for enrollment in this research endeavor?
"Contrary to expectations, clinicaltrials.gov pointed out that this trial is no longer enrolling participants. The initial post was made on January 1st 2023 and the last update took place on December 14th 2022. Luckily there are still 1476 other trials recruiting patients at present time."
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