A Novel Care Pathway in Women With "Low-risk" Gestational Diabetes Mellitus

NCT ID: NCT05596812

Last Updated: 2022-10-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-23

Study Completion Date

2024-08-31

Brief Summary

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This study is a randomized controlled trial to study the effect of the use of a risk stratification screening tool for high- and low-risk gestational diabetes mellitus (GDM), and the implementation of a new low-impact care pathway for women with low-risk GDM. The study will measure how well the screening tool and new care pathway are used, and the effect of the new low-impact care pathway on glycemic control, perinatal outcomes (large for gestational age, rate of labor induction, mode of delivery, obstetric anal sphincter injury, neonatal hypoglycemia, neonatal anthropometry) and health resource utilization in women with GDM that are at low-risk of dietary therapy failure.

Detailed Description

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Conditions

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Gestational Diabetes Mellitus in Pregnancy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Intervention (Risk Stratification Pathway)

Those randomized to Intervention (Risk Stratification Pathway) will have their demographic and clinical data entered into the risk stratification screening calculator, and will be assigned to either "Low Risk" (Novel (Low Impact) Care Pathway) or "High Risk" (Routine Care Pathway) groups.

Women in the Routine Care Pathway group will be followed in the DIP clinic according to routine care protocols and will provide bi-weekly glucometer data.

Women in the Novel (Low Impact) Care Pathway group will be followed in the New Care Pathway, which will include continuation of lifestyle and dietary modification, continuation of capillary self blood glucose monitoring, and routine prenatal care.

Group Type EXPERIMENTAL

New Care Pathway

Intervention Type OTHER

The New Care Pathway will include continuation of lifestyle and dietary modification, self-blood glucose monitoring, and routine prenatal care.

Control (Routine Care)

Those randomized to Control (Routine Care) will continue in-person and virtual visits as per routine care protocols. This group will also provide bi-weekly glucometer data.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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New Care Pathway

The New Care Pathway will include continuation of lifestyle and dietary modification, self-blood glucose monitoring, and routine prenatal care.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Women able to understand and sign the study consent form
* singleton pregnancy
* planning to give birth to at St. Michael's Hospital
* diagnosed with GDM between 24-32 weeks' gestation based on a positive GCT or GTT result as defined by the Canadian Diabetes Association Clinical Practice Guidelines

Exclusion Criteria

* Women with preexisting diabetes (Type 1 or 2 diabetes)
* multiple gestation, or a diagnosis of GDM before 24 weeks' or after 32 weeks' gestation
* not continuing care at St. Michael's Hospital after the DIP clinic visit
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Unity Health Toronto

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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St. Michael's Hospital (Unity Health Toronto)

Toronto, Ontario, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Howard Berger, MD

Role: CONTACT

416 864 6060 ext. 2395

Klaudia Szczech

Role: CONTACT

416 867 7460 ext. 49092

Facility Contacts

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Howard Berger, MD

Role: primary

416 864 6060 ext. 2395

Klaudia Szczech

Role: backup

416 867 7460 ext. 49092

Other Identifiers

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22-065

Identifier Type: -

Identifier Source: org_study_id

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