Pharmacist-led Continuous Glucose Monitoring

NCT ID: NCT06572306

Last Updated: 2024-08-28

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

RECRUITING

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-09-01

Study Completion Date

2025-08-05

Brief Summary

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This is a pilot study. The goal of this prospective cohort study is to determine impact of pharmacist-led continuous glucose monitoring on glycemic control and health behavior change in people with type 2 diabetes. The main questions it aims to answer are:

1. to assess change in hemoglobin A1c in people with type 2 diabetes using continuous glucose monitoring under a pharmacist-led approach as compared to a pharmacist-led approach utilizing no continuous glucose monitoring (only self-monitoring blood glucose with a glucometer).
2. to assess change in continuous glucose monitoring-derived glycemic outcomes among the pharmacist-led continuous glucose monitoring cohort (intervention group)
3. to assess change in health behavior among the pharmacist-led continuous glucose monitoring cohort (intervention group)

Detailed Description

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Conditions

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Type 2 Diabetes

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Continuous glucose monitoring cohort (intervention)

Freestyle libre 2 sensor devices will be used to monitor glucose. The sensors are worn on the upper arm and changed every 14 days. Each subject will have 5 visits with a pharmacist over 12 weeks. Subjects meeting inclusion criteria will include adults ≥18 years of age with type 2 diabetes and a hemoglobin A1c ≥ 8%. Subjects must have a compatible smartphone with the freestyle libre 2 sensor system. Subjects must have access to a glucometer to check blood glucose. Subjects must not have worn a continuous glucose monitor in the last 6 months to be eligible.

FreeStyle Libre 2 Continuous Glucose Monitor

Intervention Type DEVICE

Subjects included in the intervention group (continuous glucose monitoring) will be recruited from the USF Health Department of Family Medicine. Each subject will be enrolled for 12 weeks.

Self-monitoring of blood glucose cohort (historical cohort)

A retrospective chart review will be performed on patients seen by a clinic pharmacist between 1/1/2020-7/1/2024. Subjects in this group will include adults ≥18 years of age with type 2 diabetes and a hemoglobin A1c ≥ 8% and using a glucometer to monitor blood sugar. Exclusion criteria will be use of any continuous glucose monitoring device within the prior 6 months of the index date (defined as first visit with a pharmacist during study time frame).

No interventions assigned to this group

Interventions

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FreeStyle Libre 2 Continuous Glucose Monitor

Subjects included in the intervention group (continuous glucose monitoring) will be recruited from the USF Health Department of Family Medicine. Each subject will be enrolled for 12 weeks.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* type 2 diabetes
* hemoglobin A1c ≥ 8%
* compatible smartphone with FreeStyle Libre 2 continuous glucose monitoring system
* current use and access to a glucometer for self-monitoring of blood glucose

Exclusion Criteria

* any continuous glucose monitor use within 6 months prior to study enrollment
* pregnant and planning to become pregnant during study time frame
* history of hypoglycemia requiring third party assistance
* history of diabetic ketoacidosis or hyperosmolar hyperglycemic state within 6 months prior to study enrollment
* known allergy to medical grade adhesives
* current use of systemic steroids for any medical condition
* current use of dialysis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of South Florida

OTHER

Sponsor Role lead

Responsible Party

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Kevin Cowart

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kevin Cowart, PharmD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of South Florida

Locations

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USF Health Department of Family Medicine - Morsani Center for Advanced Health Care

Tampa, Florida, United States

Site Status RECRUITING

USF Health Department of Family Medicine - University Partnership Center

Tampa, Florida, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Kevin Cowart, PharmD, MPH

Role: CONTACT

813-974-5562

Facility Contacts

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Kevin Cowart, PharmD, MPH

Role: primary

813-974-5562

Kevin Cowart, PharmD, MPH

Role: primary

813-974-5562

References

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Cowart K, White RT, Olson K, Carris NW, Hanna K, Zgibor J. Impact of Pharmacist-Led Continuous Glucose Monitoring on Clinical Outcomes in People With Type 2 Diabetes in Primary Care: Protocol for a Prospective Cohort Study. JMIR Res Protoc. 2025 May 23;14:e67014. doi: 10.2196/67014.

Reference Type DERIVED
PMID: 40409747 (View on PubMed)

Other Identifiers

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STUDY007451

Identifier Type: -

Identifier Source: org_study_id

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