Continuous Glucose Monitoring for Women With Gestational Diabetes (CORDELIA)
Continuous Glucose Monitoring for Women With Gestational Diabetes: a Randomized Controlled Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Katrien Benhalima, MD PhD
- Phone Number: +3216340614
- Email: katrien.benhalima@uzleuven.be
Study Locations
-
-
-
Antwerp, Belgium
- Recruiting
- UZA
-
Contact:
- Niels Bochanen
-
Antwerp, Belgium
- Recruiting
- ZNA Antwerpen
-
Contact:
- Astrid Morrens, MD
-
Bonheiden, Belgium, 2820
- Recruiting
- Imelda Bonheiden
-
Contact:
- Da Hae Lee, MD
-
Bruges, Belgium, 8000
- Recruiting
- AZ St Jan Brugge
-
Contact:
- Sara Vandewalle
-
Brussels, Belgium
- Recruiting
- Erasme
-
Contact:
- Tiphaine Carton
-
Ghent, Belgium, 9000
- Recruiting
- UZ Gent
-
Contact:
- Joke Marlier, MD
-
Ghent, Belgium
- Recruiting
- AZ St Lucas Gent
-
Contact:
- Inge Van Boxelaer
-
Kortrijk, Belgium, 8510
- Recruiting
- AZ Groeninge Kortrijk
-
Contact:
- Ellen Heyns, MD
-
Leuven, Belgium
- Recruiting
- UZ Leuven
-
Contact:
- Katrien Benhalima, MD PhD
- Email: katrien.benhalima@uzleuven.be
-
Liège, Belgium
- Recruiting
- CHU de Liege
-
Contact:
- JC Philips
-
Mechelen, Belgium
- Recruiting
- AZ St Maarten Mechelen
-
Contact:
- Kathleen Bollaerts
-
Ostend, Belgium
- Recruiting
- AZ Oostende
-
Contact:
- Linsey Winne
-
Sint-Niklaas, Belgium
- Recruiting
- Vitaz
-
Contact:
- Peter Coremans
-
-
Oost-Vlaanderen
-
Aalst, Oost-Vlaanderen, Belgium, 9300
- Recruiting
- OLV Aalst-Asse
-
Contact:
- Inge Van Pottelbergh, MD PhD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- At least 18 years of age at the time of signing the Informed Consent Form (ICF)
- Singleton pregnancy
- Diagnosed with gestational diabetes before 29.6 weeks of pregnancy
- Needs to be able to understand and speak Dutch, French or English.
- Have email access
Exclusion Criteria:
- Patient has a history of type 2 or type 1 diabetes, or presence of auto-immune antibodies for type 1 diabetes
- A physical or psychological disease likely to interfere with the conduct of the study (based on the evaluation by the treating physician).
- Use of medication with significant impact on glycemia (such as high dose glucocorticoids and diabetes medication such as metformin)
- Participation in an interventional Trial with an investigational medicinal product or device
- Multiple pregnancy
- History of bariatric surgery
- Known allergy to the adhesives used with the continuous glucose monitoring
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: continuous glucose monitoring
continuous use of realtime-continuous glucose monitoring with Freestyle Libre 3
|
CGM
|
|
Active Comparator: self monitoring of blood glucose with glucometer
self monitoring of blood glucose with glucometer, at least 2 days per week if treated with lifestyle and daily if additional treatment with insulin is started
|
SMBG
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
a composite of pregnancy outcomes
Time Frame: at delivery
|
Hence, the primary outcome is a binary variable, taking the value 1 if at least one of the adverse pregnancy outcomes occurs, or zero otherwise:preterm delivery <37 weeks, large-for-gestational age infant, neonatal hypoglycaemia, (requiring intravenous dextrose), NICU admission (>24h), respiratory distress (at least 4 hours of respiratory support with supplemental oxygen, CPAP, or intermittent positive-pressure ventilation during the first 24 hours after delivery), stillbirth or neonatal death, phototherapy for jaundice, birth trauma and shoulder dystocia
|
at delivery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
time in glucose range overnight between 70-95mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
time in range from 00 till 6am between 70-95mg/dl
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
time in glucose range during the day between 70-95mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
time in range from 06 am til 00 between 70-95mg/dl
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
time in glucose range overnight between 63-140mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks of gestation
|
time in range from 00 till 6am between 63-140mg/dl
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks of gestation
|
|
time in glucoserange during the day between 63-140mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
time in range from 06 am til 00 between 63-140mg/dl
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
time in glucose range during the day between 54-95mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
time in range from 06 am til 00 between 54-95mg/dl
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
time in glucose range overnight between 54-95mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
time in range from 00 till 6am between 54-95mg/dl
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
time in glucose range overnight between 63-120mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
time in range from 00 till 6am between 63-120mg/dl
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
time in glucose range during the day between 63-120mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
time in range from 06 am til 00 between 63-120mg/dl
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
hypoglycemia <54mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
time below 54mg/dl
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
hypoglycemia <50mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
time below 50mg/dl
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
hypoglycemia <63mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
time below 63mg/dl
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
hypoglycemia <70mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
time below 70mg/dl
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
standard deviation
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
glycemic variability measured by standard deviation (SD)
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
Coefficient of Variance
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
glycemic variability measured by coefficient of variance (CV)
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
mean amplitude of glycemic excursions
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
glycemic variability measured by mean amplitude of glycemic excursions (MAGE)
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
glucose time overnight >100mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
time in range from 00 till 6am >100mg/dl
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
glucose postprandial time >120mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
postprandial time >120mg/dl 2hours after the meal
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
glucose postprandial time >140mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
postprandial time >140mg/dl 1hour after the meal
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
glucose time >180mg/dl
Time Frame: during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
time >180mg/dl
|
during 2 weeks between 20.0-23.6 weeks, 31.0-33.6 weeks, and 36.0-38.6 weeks
|
|
Glucose management indicator
Time Frame: between 20.0-23.6 weeks, 31.0-33.6 weeks, 36.0-38.6 weeks and 6-24 weeks postpartum
|
Glucose management indicator, GMI
|
between 20.0-23.6 weeks, 31.0-33.6 weeks, 36.0-38.6 weeks and 6-24 weeks postpartum
|
|
timing of start insulin treatment
Time Frame: from GDM diagnosis till delivery
|
gestational age at start insulin treatment
|
from GDM diagnosis till delivery
|
|
Treatment satisfaction
Time Frame: between 31.0-33.6 weeks, 36.0-38.6 weeks and 6-24 weeks postpartum
|
diabetes treatment satisfaction questionnaire score, the higher the score the more satisfied, max.
score of 48
|
between 31.0-33.6 weeks, 36.0-38.6 weeks and 6-24 weeks postpartum
|
|
Quality of life based on Short Form (SF-36) score
Time Frame: baseline, between 36.0-38.6 weeks and 6-24 weeks postpartum
|
Short Form (SF-36) score, the higher the score the higher the Quality of life with a max score of 100
|
baseline, between 36.0-38.6 weeks and 6-24 weeks postpartum
|
|
dietary intake
Time Frame: baseline, between 36.0-38.6 weeks and 6-24 weeks postpartum
|
Frequyency Food Questionnaire
|
baseline, between 36.0-38.6 weeks and 6-24 weeks postpartum
|
|
Physical activity
Time Frame: baseline, between 36.0-38.6 weeks and 6-24 weeks postpartum
|
International Physical Activity questionnaire score
|
baseline, between 36.0-38.6 weeks and 6-24 weeks postpartum
|
|
fear for hypoglycaemia
Time Frame: between 36.0-38.6 weeks
|
the Hypoglycaemia Fear Survey II
|
between 36.0-38.6 weeks
|
|
fear for hyperglycaemia
Time Frame: between 36.0-38.6 weeks
|
self-designed questionnaire on fear for hyperglycaemia
|
between 36.0-38.6 weeks
|
|
symptoms of depression
Time Frame: baseline, between 36.0-38.6 weeks and 6-24 weeks postpartum
|
the 20-item Center for Epidemiologic Studies-Depression (CES-D) , questionnaire, max.
score 60 (the higher the more symptoms of depression)
|
baseline, between 36.0-38.6 weeks and 6-24 weeks postpartum
|
|
symptoms of anxiety
Time Frame: baseline, between 36.0-38.6 weeks and 6-24 weeks postpartum
|
validated six-item short-form STAI questionnaire on anxiety, max.
score of 24 (the higher the more anxiety)
|
baseline, between 36.0-38.6 weeks and 6-24 weeks postpartum
|
|
user-friendliness of CGM
Time Frame: between 36.0-38.6 weeks
|
self-designed questionnaire on the user-friendliness of continuous glucose monitoring (CGM)
|
between 36.0-38.6 weeks
|
|
user-friendliness of CGM compared to oral glucose tolerance test (OGTT)
Time Frame: between 6-24 weeks postpartum
|
self-designed questionnaire on the user-friendliness of continuous glucose monitoring (CGM) compared to OGTT
|
between 6-24 weeks postpartum
|
|
duration of breastfeeding
Time Frame: postpartum between 6-24 weeks
|
breastfeeding duration (exclusive or half formula) duration in months
|
postpartum between 6-24 weeks
|
|
night glucose time in range between 70-180mg/dl
Time Frame: postpartum between 6-24 weeks
|
glucose time in range between 70-180mg/dl from 00 til 6am
|
postpartum between 6-24 weeks
|
|
day glucose time in range between 70-180mg/dl
Time Frame: postpartum between 6-24 weeks
|
glucose time in range between 70-180mg/dl from 6am till 00
|
postpartum between 6-24 weeks
|
|
day glucose time in range <70mg/dl
Time Frame: postpartum between 6-24 weeks
|
glucose time below 70-mg/dl from 6am till 00
|
postpartum between 6-24 weeks
|
|
night glucose time in range <70mg/dl
Time Frame: postpartum between 6-24 weeks
|
glucose time below 70-mg/dl from 00 till 6am
|
postpartum between 6-24 weeks
|
|
night glucose time in range >180mg/dl
Time Frame: postpartum between 6-24 weeks
|
glucose time above 180mg/dl from 00 till 6am
|
postpartum between 6-24 weeks
|
|
day glucose time in range >180mg/dl
Time Frame: postpartum between 6-24 weeks
|
glucose time above 180mg/dl from 6am till 00
|
postpartum between 6-24 weeks
|
|
mean HbA1c
Time Frame: between 20.0-23.6 weeks, 31.0-33.6 weeks, 36.0-38.6 weeks and 6-24 weeks postpartum
|
glycated Hb
|
between 20.0-23.6 weeks, 31.0-33.6 weeks, 36.0-38.6 weeks and 6-24 weeks postpartum
|
|
mean insulin dose
Time Frame: from GDM diagnosis till delivery
|
dose of short and/or long)actinbg insulin
|
from GDM diagnosis till delivery
|
|
mean gestational weight gain
Time Frame: at delivery
|
weight gain in pregnancy
|
at delivery
|
|
rate of postpartum hemorrhage
Time Frame: at delivery
|
hemorrhage with delivery
|
at delivery
|
|
rate of macrosomia
Time Frame: at delivery
|
birth weight >4Kg
|
at delivery
|
|
rate of baby >4.5Kg
Time Frame: at delivery
|
birth weight >4.5Kg
|
at delivery
|
|
rate of Small-for-gestational age infant
Time Frame: at delivery
|
birth weight <10Th percentile
|
at delivery
|
|
rate of cesarean section
Time Frame: at delivery
|
total (planned and emergency) number of cesarean sections
|
at delivery
|
|
rate of instrumental delivery
Time Frame: at delivery
|
delivery with forceps or vacuum
|
at delivery
|
|
rate of perineal inury
Time Frame: at delivery
|
3dr or 4th degree perineal laceration
|
at delivery
|
|
rate of labor inductions
Time Frame: at delivery
|
induction of labor
|
at delivery
|
|
rate of preeclamspia
Time Frame: at delivery
|
[≥20 weeks of gestation: new onset of hypertension and proteinuria or the new onset of hypertension and significant end-organ dysfunction with or without proteinuria (dipstick ≥ 2+, ≥0.3 g protein/24 hours or ≥30 mg/dL protein in spot urine or spot urine protein / creatinine ratio ≥30 mg protein/mmol creatinine
|
at delivery
|
|
rate of gestational hypertension
Time Frame: at delivery
|
≥20 weeks of gestation: blood pressure ≥140/90mmHg
|
at delivery
|
|
rate of fetal malformation
Time Frame: at delivery
|
congenital malformation
|
at delivery
|
|
rate of miscarriage
Time Frame: at delivery
|
fetal loss <20 weeks gestation
|
at delivery
|
|
rate of polycythemia
Time Frame: at delivery
|
increased hematocrite accoridng to local practice
|
at delivery
|
|
rate of neonatal hypoglycemia
Time Frame: at delivery
|
bypoglycemia at birth <40mg/dl
|
at delivery
|
|
rate of hypercholesterolemia
Time Frame: postpartum between 6-24 weeks
|
lipid profile with LDL-cholesterol and Triglycerides
|
postpartum between 6-24 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CORDELIA
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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