About this trial
The purpose of this study is to measure differences in diabetes control with the use of continuous glucose monitor (CGM) and diabetes education compared with standard of care for glucose monitoring (glucometer checks) and diabetes education in participants with diabetes mellitus receiving therapy with insulin and being admitted to Mayo Clinic Advanced Care at Home Program (ACH).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients who are admitted to Advanced Care at Home (ACH) Program and supposed to remain in ACH for at least 72 hours.
Patients with previous diagnosis of DM type 1 or type 2.
Patients taking subcutaneous (SQ) insulin either via multidose injections or SQ insulin pump.
Capable of giving signed informed consent
Disqualifiers
Actively treated for diabetes ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS).
Participants taking acetaminophen more than 4g per day or more than 1gm every 6 hours.
Participants with altered mental status.
Participants diagnosed with dementia.
Trial design
Parallel
Treatments tested in this trial
Continuous Glucose Monitor Dexcom G6 PRO
DeviceConnected to a smart phone that transmits continuous glucose monitoring data in real time to Advanced Care at Home Command Center for monitoring.
Treatment groups
Trial outcomes
Primary outcomes
Time in Range
Percentage of time with continuous glucose monitor values within 70-180 mg/dl
Mean daily glucose
Mean daily glucose level (mg/dl)
Secondary outcomes
Frequency of hypoglycemia episodes
Number of episodes with blood glucose below 70 mg/dl measured via point of care testing (POCT) and Continuous Glucose Monitor (CGM)
Mean absolute relative difference (MARD) variation with Oxygen saturation.
Measured in percentage
Mean absolute relative difference (MARD) variation with Daily hemoglobin.
Measured in grams per deciliter (g/dl)
Mean absolute relative difference (MARD) variation with Glomerular filtration rate (GFR)
Measured in ml/min
Sponsors and contacts
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