Automated Insulin for Management of Intrapartum Glycemia

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-55
SponsorUniversity of California, San Francisco

About this trial

The goal of this clinical trial is learn if automated insulin delivery (AID) systems can be used for glucose management during labor/delivery for pregnant people with type 1 diabetes (T1D). The main questions this study aims to answer are

* What are the neonatal glycemic outcomes with use of AID systems during labor/delivery? * Do patients report higher birth satisfaction with use of AID systems during labor/delivery? * Are glycemic parameters like time-in-range (TIR) better with use of AID systems during labor/delivery?

Researchers will compare AID systems to intravenous (IV) insulin (the current standard of care for glucose management during labor/delivery) by randomly assigning participants to one or the other.

Eligibility criteria

Qualifiers

Currently pregnant at ≥ 34 weeks

Known diagnosis of type 1 diabetes ≥ 1 year

Use of commercially available AID system since at least 28 weeks gestation

Singleton pregnancy

Disqualifiers

Multifetal gestation

Planned cesarean delivery

Use of medications known to interfere with glucose metabolism

Intrauterine fetal demise

Trial design

Treatments tested in this trial

  • Automated insulin delivery (AID) system
  • Intravenous (IV) insulin

Treatment groups

150 Participants
are divided into 2 treatment groups