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Gestational DiabetesDiP GlucoMoNCT05037526

Utility of Real Time Continuous Glucose Monitoring in the Care of Gestational Diabetes Versus Standard Care in Pregnancy Outcomes

A study testing Dexcom G System and Self monitoring blood glucose in people with Gestational Diabetes, run by Insel Gruppe AG, University Hospital Bern at 1 site in Switzerland.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Once a pregnant mother is diagnosed with gestational diabetes mellitus (GDM), she will be treated with either diet, medication (i.e., insulin), or both. The most important factor in GDM management is glycemic control to reduce adverse outcomes. Read more about this study

Who is it for?
Ages 18 to 45 years, women only
Conditions the study is for
Gestational Diabetes
What is being tested?
Dexcom G System and Self monitoring blood glucose
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
302 participants
Where
1 siteSwitzerland
Study dates
24 Sep 2021to 30 Oct 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Informed Consent as documented by signature
  • GDM diagnosis between 24 0/7- 28 0/7 weeks of pregnancy by a 75g oral glucose test (oGTT)
  • Maternal age of 18 to 45 years,
  • Singleton gestation
  • Gestational age ≥ 24 0/7 weeks and <32 0/7 weeks at enrollment.

Who cannot join

  • Known hypersensitivity or allergy to the sensor
  • Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders of the participant
  • Participation in another study with investigational drug or product within the 30 days preceding and during the present study
  • Maternal age < 18 years,
  • Multi-fetal gestations,
  • Known fetal structural or chromosomal anomalies
Show all 12Show fewer
  • Chronic use of medications associated with hyperglycemia (steroids)
  • Planned preterm delivery
  • Overt diabetes mellitus type 1 or 2
  • HbA1c by study entry > 6.5%
  • History of bariatric surgery or other surgeries that induce malabsorption
  • Fetal growth restriction by study entry

Trial locations and contacts

1 site in 1 country.

Switzerland1 site
  • University Hospital of Bern, Inselspital

    Bern, 3010

Other trials in Switzerland

About this study

Official title: Diabetes in Pregnancy Project Und Mobile Health in Gestational Diabetes: An Open Label Randomized Controlled Monocentric Trial on the Utility of Real Time Continuous Glucose Monitoring in the Care of Gestational Diabetes Versus Standard Care

Once a pregnant mother is diagnosed with gestational diabetes mellitus (GDM), she will be treated with either diet, medication (i.e., insulin), or both. The most important factor in GDM management is glycemic control to reduce adverse outcomes. Blood glucose levels have become the "key player" for monitoring and directing treatment during pregnancy. Large trials have confirmed that treatment of GDM to optimize glycemic control can decrease the incidence of many of these associated adverse maternal and neonatal outcomes. Up to now, SMBG (self-monitoring of blood glucose) is recommended for women with gestational diabetes that involves finger pricking up to six times daily. However, SMBG provides an incomplete picture of the daily glucose profile due to long intervals between finger pricking, and inaccurate self-reported measurements, which heavily rely on patients' compliance.

Read the detailed description

The incidence of obesity and diabetes is rising worldwide even in younger populations. With a rise in maternal obesity also gestational diabetes mellitus (GDM) becomes more prevalent with a prevalence of up to 18% of pregnancies. Up to now, SMBG (self-monitoring of blood glucose) is recommended for women with gestational diabetes that involves finger pricking up to six times daily. The main purpose of this study is to prove that real time continuous glucose monitoring (rt-CGM) can effectively reduce the risk for adverse pregnancy and neonatal outcome in GDM. It is further hypothesized that rt-CGM can optimize maternal glycaemic control, increase patients satisfaction and adherence to management strategies of GDM. This is a open label randomized controlled trial with two parallel groups.

Being tested
Dexcom G System, Self monitoring blood glucose
Medical subject headings
Diabetes, Gestational

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dexcom G SystemDevice

    Continuous glucose monitoring system

  • Self monitoring blood glucoseDevice

    Standard Care

Study groups in NCT05037526
Study groupRoleWhat they receive
Dexcom G SystemActive comparatorThe Dexcom G6 or current version intended use is for the management of diabetes. It is a small flexible device that records interstitial glucose levels every 5 min and is intended to replace fingerstick blood glucose testing for diabetes treatment decisions. Interpretation of the Dexcom G6 or current version System results should be based on the glucose trends and several sequential readings over time. The system consists of a sensor, transmitter, receiver and mobile app.
Receives: Device: Dexcom G System
Standard care of gestational diabetes with self monitoring blood glucose (SMBG)Active comparatorSMBG (self-monitoring of blood glucose) is recommended for women with gestational diabetes that involves finger pricking up to six times daily.
Receives: Device: Self monitoring blood glucose

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Composite adverse pregnancy and neonatal outcome

    The primary endpoint is composite adverse pregnancy and neonatal outcome; the proportion of large for gestation age (LGA) newborns (birth weight >90th centile); fetal macrosomia (estimated fetal weight over the 95th centile); incidence of polyhydramnios (maximal vertical pocket ≥ 8 cm); rate of neonatal hypoglycaemia; occurrence of stillbirth. Every each and one of these variables contributes to a better neonatal outcome and are associated. This composite endpoint includes factors influencing decisive the neonatal outcome.

    Measured: 2 years

Secondary outcomes (24)
  1. Initiated Therapy

    Need for antiglycemic therapy in example Insulin yes/no

    Measured: 10-14 weeks

  2. Glycemic Outcomes 1

    Glycemic variability including number and duration of hypoglycemic and hyperglycemic events, mean interstitial glucose in mmol/L and its standard deviation (SD) A hypoglycemic event was defined for two separate analyses as excursions of at least 15 min below the target range (<3.5 mmol/L), and a hyperglycemic event was defined for two separate analyses as excursions of at least 15 min above the target range (>7.8 mmol/L).

    Measured: 10-14 weeks

  3. Glycemic Outcomes 2

    Time in glucose target in %

    Measured: 10-14 weeks

  4. Glycemic Outcomes 3

    Duration and frequency postprandial hyperglycaemic excursions

    Measured: 10-14 weeks

  5. Glycemic Outcomes 4

    Hemoglobin A1c (HbA1c) values (at inclusion, birth and postpartum) in %

    Measured: 10-14 weeks

  6. Pregnancy complications

    Pregnancy Complications such as

    • Placenta insufficiency (Estimated fetal weight < 10th centile and blood flow changes),
    • Gestational hypertension (systolic blood pressure ≥ 140 mm Hg or diastolic blood pressure ≥ 90 mg Hg on two occasions at least 4 hours apart)
    • Preeclampsia (international Society for the Study of Hypertension in Pregnancy (ISSHP) definition)

    Measured: 10-14 weeks

  7. Mode of Delivery

    Mode of delivery including cesarean delivery, induction of labor, need for operative vaginal delivery (forceps or vacuum-assisted vaginal delivery)

    Measured: 10-14 weeks

  8. Need for induction of labor

    Induction of labor yes/no

    Measured: 10-14 weeks

  9. Obstetrical outcome

    Obstetric injury yes/no

    Measured: 10-14 weeks

  10. Maternal outcomes

    Body mass index (BMI) (pre-pregnancy and at the time of delivery) weight and height will be combined to report BMI in kg/m^2

    Measured: 10-14 weeks

  11. Maternal weight gain

    Weight gain after GDM diagnosis in kg

    Measured: 10-14 weeks

  12. Maternal Compliance

    Adherence to therapy yes/no

    Measured: 10-14 weeks

  13. Maternal satisfaction questionnaire

    Patient satisfaction after pregnancy evaluated through a questionnaire

    Measured: 10-14 weeks

  14. Postpartum disorder

    8 weeks postpartum oral glucose test values in mmol/L

    Measured: 10-14 weeks

  15. Birth age

    Gestational age at delivery in weeks

    Measured: 10-14 weeks

  16. Preterm

    Preterm delivery (delivery < 37 weeks gestational age) yes/no

    Measured: 10-14 weeks

  17. Neonatal weight

    Birth weight in grams

    Measured: 10-14 weeks

  18. Neonatal outcome

    Small for gestational age (birth weight < 10%) yes/no

    Measured: 10-14 weeks

  19. Neonatal condition

    Poor condition at birth (Apgar score at 5 minutes <7, Arterial pH of <7.0) yes/no

    Measured: 10-14 weeks

  20. Neonatal Morbidity

    Perinatal morbidity prior to hospital discharge.

    Measured: 10-14 weeks

  21. Neonatal birth trauma

    Birth trauma (brachial plexus injury, or clavicular, humeral, or skull fracture)

    Measured: 10-14 weeks

  22. Resuscitation

    Need for resuscitation yes/no

    Measured: 10-14 weeks

  23. Neonatal Care

    Admission to neonatal intensive care unit (NICU) with length of stay in days

    Measured: 10-14 weeks

  24. Respiratory distress syndrome

    Respiratory distress syndrome (need for supplemental oxygen > 4 hours after birth) yes/no

    Measured: 10-14 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Sep 2021
  2. Study start24 Sep 2021
  3. Primary completion31 Aug 2024
  4. Study completion30 Oct 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
302 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05037526
Sponsor's protocol ID
UCB_GDMV4.0
Acronym
DiP GlucoMo
Status last verified
Dec 2024
First submitted
29 Jul 2021
Last updated
16 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Castorino K, Polsky S, O'Malley G, Levister C, Nelson K, Farfan C, Brackett S, Puhr S, Levy CJ. Performance of the Dexcom G6 Continuous Glucose Monitoring System in Pregnant Women with Diabetes. Diabetes Technol Ther. 2020 Dec;22(12):943-947. doi: 10.1089/dia.2020.0085.

    PubMed 32324061
  • Cosson E, Baz B, Gary F, Pharisien I, Nguyen MT, Sandre-Banon D, Jaber Y, Cussac-Pillegand C, Banu I, Carbillon L, Valensi P. Poor Reliability and Poor Adherence to Self-Monitoring of Blood Glucose Are Common in Women With Gestational Diabetes Mellitus and May Be Associated With Poor Pregnancy Outcomes. Diabetes Care. 2017 Sep;40(9):1181-1186. doi: 10.2337/dc17-0369. Epub 2017 Jul 19.

    PubMed 28724718
  • Feig DS, Donovan LE, Corcoy R, Murphy KE, Amiel SA, Hunt KF, Asztalos E, Barrett JFR, Sanchez JJ, de Leiva A, Hod M, Jovanovic L, Keely E, McManus R, Hutton EK, Meek CL, Stewart ZA, Wysocki T, O'Brien R, Ruedy K, Kollman C, Tomlinson G, Murphy HR; CONCEPTT Collaborative Group. Continuous glucose monitoring in pregnant women with type 1 diabetes (CONCEPTT): a multicentre international randomised controlled trial. Lancet. 2017 Nov 25;390(10110):2347-2359. doi: 10.1016/S0140-6736(17)32400-5. Epub 2017 Sep 15.

    PubMed 28923465
  • Inayama Y, Yamanoi K, Shitanaka S, Ogura J, Ohara T, Sakai M, Suzuki H, Kishimoto I, Tsunenari T, Suginami K. A novel classification of glucose profile in pregnancy based on continuous glucose monitoring data. J Obstet Gynaecol Res. 2021 Apr;47(4):1281-1291. doi: 10.1111/jog.14677. Epub 2021 Jan 27.

    PubMed 33501738
  • Polsky S, Garcetti R, Pyle L, Joshee P, Demmitt JK, Snell-Bergeon JK. Continuous glucose monitor use with and without remote monitoring in pregnant women with type 1 diabetes: A pilot study. PLoS One. 2020 Apr 16;15(4):e0230476. doi: 10.1371/journal.pone.0230476. eCollection 2020.

    PubMed 32298269
  • Battelino T, Danne T, Bergenstal RM, Amiel SA, Beck R, Biester T, Bosi E, Buckingham BA, Cefalu WT, Close KL, Cobelli C, Dassau E, DeVries JH, Donaghue KC, Dovc K, Doyle FJ 3rd, Garg S, Grunberger G, Heller S, Heinemann L, Hirsch IB, Hovorka R, Jia W, Kordonouri O, Kovatchev B, Kowalski A, Laffel L, Levine B, Mayorov A, Mathieu C, Murphy HR, Nimri R, Norgaard K, Parkin CG, Renard E, Rodbard D, Saboo B, Schatz D, Stoner K, Urakami T, Weinzimer SA, Phillip M. Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range. Diabetes Care. 2019 Aug;42(8):1593-1603. doi: 10.2337/dci19-0028. Epub 2019 Jun 8.

    PubMed 31177185
  • Amylidi-Mohr S, Zennaro G, Schneider S, Raio L, Mosimann B, Surbek D. Continuous glucose monitoring in the management of gestational diabetes in Switzerland (DipGluMo): an open-label, single-centre, randomised, controlled trial. Lancet Diabetes Endocrinol. 2025 Jul;13(7):591-599. doi: 10.1016/S2213-8587(25)00063-4. Epub 2025 May 26.

    PubMed 40441173

Questions about this trial

What is this clinical trial studying?

A study testing Dexcom G System and Self monitoring blood glucose in people with Gestational Diabetes, run by Insel Gruppe AG, University Hospital Bern at 1 site in Switzerland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 16 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Composite adverse pregnancy and neonatal outcome (time frame: 2 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05037526, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Dec 2024; AzTrials last refreshed its copy on 8 Nov 2026.

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