- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01441518
Home Versus Hospital Care in Glucose Monitoring of Gestational Diabetes and Mild Gestational Hyperglycemia
A Prospective Randomized Trial of Home Versus Hospital Care in Glucose Monitoring of Gestational Diabetes and Mild Gestational Hyperglycemia
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Sao Paulo
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Botucatu, Sao Paulo, Brazil, 18618-970
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients who were diagnosed with gestational, pre gestational diabetes mellitus or mild gestational hyperglycemia. Patients should have one of the four criteria as following:
Patients with positive screening for GDM presenting a TTG of 75 g and one of the values below:
- fasting glucose ≥ 92;
- 1h ≥ 180; or
- 2h ≥ 153 will be considered gestational diabetes mellitus (GDM) and these patients will be enrolled to a run-in phase consisting of diet and exercise during 15 days. If the patients still present an abnormal glycemic profile instead of the previous treatment with diet and exercise they will be enrolled in the study and randomized to either home or hospital care; or
- Patients with pre gestational diabetes mellitus type 1 or 2; or
- Patients with positive screening for GDM and presenting normal TTG of 75 g and abnormal glycemic profile, fasting ≥ 85 mg k/l 10 h to 18h post prandial ≥ 130 mg k/ ( Rudge et al,1990).
- Normal TTG and an abnormal glycemic profile will be considered as mild gestational hyperglycemia
- Patient provided written informed consent.
Exclusion Criteria:
- Twin pregnancy diagnosed until the date of randomization or;
- Fetal malformation diagnosed until the date of randomization.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Home care
|
Home care, sometimes called "ambulatory care" or "outpatient", was defined as the blood-glucose self-monitored by the pregnant women at home.
This project will provide glucometers to all those who are randomized to home care.
The women will receive training for glucose control in pre-defined days, with the glucometer to obtain the mean glucose.
According to blood-glucose levels in glycemic profile, insulin dose will be maintained or altered both in gestational diabetes as in mild gestational hyperglycemia .
|
Active Comparator: Hospital care
|
Hospital care, sometimes called "acute care", was defined as control of maternal diabetes made at hospitals by admission to hospital. The blood-glucose and metabolic control are done in gestational diabetes and mild gestational hyperglycemia treated conventionally. The hospitalized patients will have their glycemic control done in the hospital. . According to blood-glucose levels in glycemic profile , insulin dose will be maintained or altered both in gestational diabetes as in mild gestational hyperglycemia. All the women of the study will be accompanied by a team of obstetricians specializing in high-risk pregnancies; residents; dietitians; nurses and neonatologists. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Maternal mortality and morbidity rates
Time Frame: participants will be followed regarding maternal and perinatal mortality and morbidity rates up to six weeks postnatal
|
participants will be followed regarding maternal and perinatal mortality and morbidity rates up to six weeks postnatal
|
Perinatal mortality and morbidity rates
Time Frame: participants will be followed regarding maternal and perinatal mortality and morbidity rates up to six weeks postnatal
|
participants will be followed regarding maternal and perinatal mortality and morbidity rates up to six weeks postnatal
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Birth weight (classified as appropriate for gestational age = AIG, small for gestational age =SGA and large for gestational age = LGA)
Time Frame: birth weight will be assessed for an expected average of 9 months from the time of randomization
|
birth weight will be assessed for an expected average of 9 months from the time of randomization
|
Maternal hospitalizations for any causes (home care) and prolonged hospitalization (hospital care)
Time Frame: participants will be followed for maternal hospitalizations for any causes and prolonged hospitalization up to six weeks postnatal
|
participants will be followed for maternal hospitalizations for any causes and prolonged hospitalization up to six weeks postnatal
|
Infants repeated hospitalizations
Time Frame: infants will be followed for repeated hospitalizations up to six weeks postnatal
|
infants will be followed for repeated hospitalizations up to six weeks postnatal
|
Infants acute care visits
Time Frame: infants will be followed for acute care visits up to six weeks postnatal
|
infants will be followed for acute care visits up to six weeks postnatal
|
Length of stay for delivery
Time Frame: participants will be followed for length of stay for delivery, an expected average of 9 months
|
participants will be followed for length of stay for delivery, an expected average of 9 months
|
Maternal prenatal and postpartum acute care visits
Time Frame: participants will be followed for maternal prenatal and postpartum acute care visits up to six weeks postnatal
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participants will be followed for maternal prenatal and postpartum acute care visits up to six weeks postnatal
|
Biophysical profile tests
Time Frame: participants will be followed for biophysical profile tests up to six weeks postnatal
|
participants will be followed for biophysical profile tests up to six weeks postnatal
|
Incidence of premature infants
Time Frame: participants will be followed regarding incidence of premature infants up to six weeks postnatal
|
participants will be followed regarding incidence of premature infants up to six weeks postnatal
|
Postpartum repeated hospitalization
Time Frame: participants will be followed for Postpartum repeated hospitalization up to six weeks postnatal
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participants will be followed for Postpartum repeated hospitalization up to six weeks postnatal
|
Glucose control
Time Frame: participants will be followed for glucose control up to six weeks postnatal
|
participants will be followed for glucose control up to six weeks postnatal
|
Costs
Time Frame: costs will be assessed for an expected average of 9 months from the time of randomization
|
costs will be assessed for an expected average of 9 months from the time of randomization
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Dr Regina El Dib, PhD, UPECLIN HC FM Botucatu Unesp
- Principal Investigator: Dr Marilza Rudge, PhD, UPECLIN HC FM Botucatu Unesp
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- upeclin/HC/FMB-Unesp-52
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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