Glucose monitors may outshine standard test for pregnancy diabetes
NCT ID NCT05981547
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 2 times
Summary
This study looks at whether a continuous glucose monitor (CGM) can provide better insight into blood sugar patterns in pregnant women at risk for gestational diabetes than the usual oral glucose tolerance test (OGTT). Researchers will give 400 high-risk pregnant women a CGM sensor and compare their glucose data with their OGTT results and pregnancy outcomes. The goal is to see if the OGTT misses important high blood sugar episodes, which could lead to better diagnosis in the future.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Libre 3 continuous glucose monitoring sensor
- What this could lead to
- If successful, this study could point toward using continuous glucose monitors as a more reliable way to diagnose gestational diabetes than the current oral glucose tolerance test.
- What could go wrong
- This is an observational study, not a treatment trial, so it won't directly change care yet. The results may show no clear difference between groups, limiting the case for changing diagnostic methods.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
180 people
The number who actually took part.
- Started
-
Nov 2023
- Finished
-
May 2026
- Lead sponsor
-
A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The investigators will recruit 400 patients, with the expectation that approximately 120 of these will have confirmed GDM following an OGTT. Of these patients, we expect 50% will require glucose lowering therapy (metformin and/or insulin) and 50% willo manage their GDM with dietary measures. The sample sizes are derived from the fact that CGM (AGP) comparisons across groups require n=18-20 in each group to give 80% power to detect clinically significant differences and so our sample size calculations are driven by making sure no sub-group has less than 20 subjects in it. The total of 120 positive OGTTs can be further sub-divided by how they achieved the positive OGTT (fasting, post glucose load, or both).
- Ages
-
18 years and older
- Sex
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Female participants only
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: * Female aged 18 years of above * Between 12-26 weeks gestation * Identified by NICE as having one or more independent risk factor for GDM * Suitable for the standard care pathway under the joint antenatal clinic for GDM * Willing and able to give informed consent. Exclusion Criteria: * Pre-existing diabetes * Previous GDM * Unsuitable for standard joint antenatal clinic pathway * Known allergy to freestyle libre adhesive pad * Planning to move geographical area during the study timeframe * Participating in a different study that could interfere with glucose levels or affect ability to participate.
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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.
Contacts and locations
Locations
-
Portsmouth Hospitals University NHS Trust
Portsmouth, United Kingdom
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Other studies related to the condition(s) this trial covers.
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