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The proposed study will be a randomized, prospective, non-blinded study of 120 participants with type 1 or type 2 diabetes that are new-to-insulin on hospital discharge. On hospital discharge, participants will be assigned to either the intervention of wearing a continuous glucose monitor (CGM) for 2 weeks or blood glucose monitoring (BGM) for 2 weeks. They will have a 2-week follow up visit, during which insulin doses will be adjusted as needed, and a 3-month follow-up visit, at which point HbA1c will be measured.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Continuous Glucose Monitoring (CGM) | Experimental | Patients in the CGM group will be instructed to wear a CGM uninterruptedly for 2 weeks duration. |
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| Blood Glucose Monitoring (BGM) | Active Comparator | Patients in the BGM group will be instructed to check their blood glucose utilizing fingerstick glucose monitoring multiple times daily depending on their insulin regimen for 2 weeks duration. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Continuous Glucose Monitor | Device | Manufactured by Abbott Diabetes Care Inc. Administered by trained investigator prior to hospital discharge, left in place for 2 weeks duration, then removed. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage Change in Hemoglobin A1c (HbA1c) | Assessed via CGM or BGM. | Baseline, Month 3 Post-Discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Hospital Admissions | Up to Month 3 Post-Discharge | |
| Number of Emergency Department (ER) Visits | Up to Month 3 Post-Discharge | |
| Number of Hypoglycemic Events |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Michael Goldstein | Contact | 516-663-3511 | Michael.Goldstein@nyulangone.org |
| Name | Affiliation | Role |
|---|---|---|
| Michael Goldstein | NYU Langone Hospital - Long Island | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NYU Langone Hospital - Long Island | Recruiting | Mineola | New York | 11501 | United States |
The de-identified participant data from the final research dataset used in the published manuscript will be shared upon reasonable request beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research provided the investigator who proposes to use the data executes a data use agreement with NYU Langone Health. Requests may be directed to: Stanislaw Klek (Stanislaw.Klek@nyulangone.org). The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.
Beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research.
Requests should be directed to Stanislaw.Klek@nyulangone.org. To gain access, data requestors will need to sign a data access agreement.
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| Blood Glucose Monitor | Device | Self-administered according to investigator instruction. |
|
| Up to Month 3 Post-Discharge |