New study aims to prevent pregnancy complications with smart sugar tracking
NCT ID NCT06957028
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether wearing a continuous glucose monitor (CGM) early in pregnancy can quickly detect and manage high blood sugar in 6,000 pregnant women. The goal is to reduce serious problems for the baby (like being too large, birth injuries, or NICU stays) and for the mother (like high blood pressure). Participants wear the CGM from early pregnancy and are followed to see if early action improves outcomes.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 6,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2025
- Expected to finish
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Nov 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria 1. Maternal age of 18 years and older 2. Singleton pregnancy 3. Gestational age up to 14w 6d of pregnancy, determined on ultrasound, for initiation of screening • Although it is preferable that ultrasound results be available prior to enrollment, if ultrasound results are not available at the time of enrollment, participant can have CGM initiated but will be dropped if not eligible after results are available 4. HbA1c \<6.5% (48 mmol/mol) since onset of pregnancy • If HbA1c result not available at time of enrollment, participant can have blinded screening CGM initiated, but results will be needed prior to randomization to verify eligibility. 5. No prior history of gestational diabetes mellitus (GDM) 6. Able to read English or Spanish Exclusion Criteria 1. Signs of abnormal fetal or placental development (suspected fetal anomaly or placenta accreta spectrum, low PAPPA) at first routine prenatal visit/ultrasound 2. Planned termination of pregnancy or any indications of miscarriage 3. Prior gastric bypass surgery 4. Pregravid diabetes (type 1 or type 2) 5. Unwillingness/inability to wear CGM sensor 6. Unwillingness to attend routine antenatal obstetric appointments 7. Use of corticosteroids by a route that can produce hyperglycemia (e.g., oral, intravenous, intramuscular, intra-articular) during the 7 days prior to initiating CGM screening or during the CGM screening • Topical and inhaled corticosteroids are acceptable 8. Use of insulin during the pregnancy prior to enrollment 9. Use of metformin within one week of the initiation of the blinded CGM sensor for screening or use of a GLP-1 or other weight-reduction medication that can affect glucose levels within 4 weeks of the initiation of the blinded CGM sensor for screening 10. Deemed unable to participate for medical reasons identified by their physician Additional Criteria for RCT Eligibility 1. Screening CGM meeting study criteria for hyperglycemia: 5% to \<25% time \>140 mg/dL 2. Randomization by 16 week 6 days of pregnancy 3. No participation in a separate intervention trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
10 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
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Emory University
RECRUITINGDecatur, Georgia, 30033, United States
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IDC at Park Nicollet
RECRUITINGSaint Louis Park, Minnesota, 55416, United States
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Icahn School of Medicine at Mount Sinai
RECRUITINGNew York, New York, 10029, United States
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Leeds Teaching Hospitals NHS Trust
NOT_YET_RECRUITINGLeeds, Leeds, United Kingdom
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Norfolk and Norwich University Hospitals NHS
NOT_YET_RECRUITINGNorwich, Norwich, United Kingdom
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Oregon Health & Science University
RECRUITINGPortland, Oregon, 97239, United States
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University of Alabama at Birmingham
RECRUITINGBirmingham, Alabama, 35173, United States
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University of Miami
RECRUITINGMiami, Florida, 33016, United States
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University of Pennsylvania
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can cooking classes curb dangerous pregnancy weight gain?
- Can weightlifting beat cardio for blood sugar in pregnancy?
- Could earlier testing for pregnancy diabetes prevent complications?
- Pregnancy study seeks links between insulin resistance and placental problems
- Can a simple toolkit tame pregnancy diabetes and hypertension?
- Could your sleep and meal timing in early pregnancy predict diabetes?