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Type 2 Diabetes and Pregnancy a Single-arm Interventional Study

Pregnancy · Type 2 Diabetes

LO ESENCIAL

De qué trata este estudio

El registro indica que este estudio recluta participantes. La disponibilidad puede variar por centro.

Tipo de estudio
De intervención
Fase
No aplica
Rango de edad
18 años - 45 años
Sexo admitido
Femenino
Voluntarios sanos
No aceptados
Participantes
20 Estimado

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Acerca de la investigación

This single-arm interventional study evaluates the MiniMed 780G insulin pump and continuous glucose monitoring (CGM) system in pregnant women with type 2 diabetes enrolled at ≤ 16 weeks gestation. From recruitment to delivery, participants attend regular clinical visits for active insulin adjustments. The primary objective is to measure the percentage of time spent in the target pregnancy glucose range (63-140 mg/dL). Secondary outcomes track mean glucose, HbA1c, and overall maternal and neonatal health to ensure safety and efficacy.

Leer la descripción completa

This study will evaluate the use of the MiniMed 780G insulin pump system in pregnant women with type 2 diabetes. The aim is to assess whether this treatment can help participants achieve good glucose control during pregnancy and support favorable maternal and neonatal outcomes.

This is a single-arm interventional study. All participants will use the same insulin pump and continuous glucose monitoring system from recruitment until delivery. The study will include pregnant women with type 2 diabetes who enter the study at 16 weeks of pregnancy or less.

Participants will attend regular follow-up visits during pregnancy. Researchers will review glucose data, adjust insulin treatment, measure HbA1c, and assess pregnancy and neonatal outcomes.

The main outcome is the percentage of time spent in the pregnancy target glucose range of 63 to 140 mg/dL from recruitment until delivery. The study will also assess mean glucose levels, maternal outcomes, and neonatal outcomes.

¿Quién podría participar?

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Inclusion Criteria:

1. Women with diagnosed pregestational type 2 diabetes or HbA1c \>6.5% in the 1st trimester (ADA, PTD)
2. Age 18-45 years
3. Gestational age of 16 weeks +0 days or less at baseline
4. Singleton pregnancy
5. HbA1c at baseline 5.0-10%
6. A viable pregnancy at the recruitment
7. Willingness to continue the treatment until delivery in the clinic

Exclusion Criteria:

1. Other types of diabetes including T1D and Monogenic diabetes
2. Major fetal congenital defects
3. Severe nephropathy, psychiatric illness or other serious medical disorder that in the judgment of the investigator could affect completion of the trial
4. Pump therapy before pregnancy

Entiende la evaluación inicial

Tratamiento, grupos y participación

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Asignación
No aplica
Enmascaramiento
Sin enmascaramiento
Type 2 diabetes

Pregnant patients with type 2 diabetes treated with automated insulin delivery system

Device: Automated insulin delivery system - Medtronic 780G

Automated insulin delivery system - Medtronic 780G DEVICE

Use of automated insulin delivery system in pregnant patients with type 2 diabetes

Prepara tus preguntas

Qué evalúan los investigadores

Estas medidas indican qué se estudia. No prueban que un tratamiento funcione.

Medidas principales

Time in range

Plazo: From enrollment to the delivery

Percentage of time spent in target glucose values - 63-140 mg/dL (3.5-7.8 mmol/L)

Mean sensor glycemia

Plazo: From enrollment to the delivery

Average value of glucose concentration measured by the sensor (mg/dL and mmol/L)

Medidas secundarias

Time in range

Plazo: Week 18

Percentage of time spent in target glucose values - 63-140 mg/dL (3.5-7.8 mmol/L)

Time in range

Plazo: Week 22

Percentage of time spent in target glucose values - 63-140 mg/dL (3.5-7.8 mmol/L)

Time in range

Plazo: Week 26

Percentage of time spent in target glucose values - 63-140 mg/dL (3.5-7.8 mmol/L)

Time in range

Plazo: Week 30

Percentage of time spent in target glucose values - 63-140 mg/dL (3.5-7.8 mmol/L)

Time in range

Plazo: Week 34

Percentage of time spent in target glucose values - 63-140 mg/dL (3.5-7.8 mmol/L)

Time in range

Plazo: Week 37

Percentage of time spent in target glucose values - 63-140 mg/dL (3.5-7.8 mmol/L)

Time in tight range

Plazo: Week 18

Percentage of time spent in target glucose values - 63-120 mg/dL (3.5-6.7 mmol/L)

Time in tight range

Plazo: Week 22

Percentage of time spent in target glucose values - 63-120 mg/dL (3.5-6.7 mmol/L)

Time in tight range

Plazo: Week 26

Percentage of time spent in target glucose values - 63-120 mg/dL (3.5-6.7 mmol/L)

Time in tight range

Plazo: Week 30

Percentage of time spent in target glucose values - 63-120 mg/dL (3.5-6.7 mmol/L)

Time in tight range

Plazo: Week 34

Percentage of time spent in target glucose values - 63-120 mg/dL (3.5-6.7 mmol/L)

Time in tight range

Plazo: Week 37

Percentage of time spent in target glucose values - 63-120 mg/dL (3.5-6.7 mmol/L)

Change in the time in range values

Plazo: From the recruitment to delivery

Change in percentage of time spent in target glucose values - 63-140 mg/dL (3.5-7.8 mmol/L)

Time above range

Plazo: Week 18

Percentage of time spent above target glucose values - \>140 mg/dL (\>7.8 mmol/L)

Time above range

Plazo: Week 22

Percentage of time spent above target glucose values - \>140 mg/dL (\>7.8 mmol/L)

Time above range

Plazo: Week 26

Percentage of time spent above target glucose values - \>140 mg/dL (\>7.8 mmol/L)

Time above range

Plazo: Week 30

Percentage of time spent above target glucose values - \>140 mg/dL (\>7.8 mmol/L)

Time above range

Plazo: Week 34

Percentage of time spent above target glucose values - \>140 mg/dL (\>7.8 mmol/L)

Time above range

Plazo: Week 37

Percentage of time spent above target glucose values - \>140 mg/dL (\>7.8 mmol/L)

Time above tight range

Plazo: Week 18

Percentage of time spent above target glucose values - \>120 mg/dL (\>6.7 mmol/L)

Time above tight range

Plazo: Week 22

Percentage of time spent above target glucose values - \>120 mg/dL (\>6.7 mmol/L)

Time above tight range

Plazo: Week 26

Percentage of time spent above target glucose values - \>120 mg/dL (\>6.7 mmol/L)

Time above tight range

Plazo: Week 30

Percentage of time spent above target glucose values - \>120 mg/dL (\>6.7 mmol/L)

Time above tight range

Plazo: Week 34

Percentage of time spent above target glucose values - \>120 mg/dL (\>6.7 mmol/L)

Time above tight range

Plazo: Week 37

Percentage of time spent above target glucose values - \>120 mg/dL (\>6.7 mmol/L)

Time below range

Plazo: Week 18

Percentage of time spent below target glucose values - \<63 mg/dL (\<3.5 mmol/L)

Time below range

Plazo: Week 22

Percentage of time spent below target glucose values - \<63 mg/dL (\<3.5 mmol/L)

Time below range

Plazo: Week 26

Percentage of time spent below target glucose values - \<63 mg/dL (\<3.5 mmol/L)

Time below range

Plazo: Week 30

Percentage of time spent below target glucose values - \<63 mg/dL (\<3.5 mmol/L)

Time below range

Plazo: Week 34

Percentage of time spent below target glucose values - \<63 mg/dL (\<3.5 mmol/L)

Time below range

Plazo: Week 37

Percentage of time spent below target glucose values - \<63 mg/dL (\<3.5 mmol/L)

Mean sensor glycemia

Plazo: Week 18

Average value of glucose concentration measured by the sensor (mg/dL and mmol/L)

Mean sensor glycemia

Plazo: Week 22

Average value of glucose concentration measured by the sensor (mg/dL and mmol/L)

Mean sensor glycemia

Plazo: Week 26

Average value of glucose concentration measured by the sensor (mg/dL and mmol/L)

Mean sensor glycemia

Plazo: Week 30

Average value of glucose concentration measured by the sensor (mg/dL and mmol/L)

Mean sensor glycemia

Plazo: Week 34

Average value of glucose concentration measured by the sensor (mg/dL and mmol/L)

Mean sensor glycemia

Plazo: Week 37

Average value of glucose concentration measured by the sensor (mg/dL and mmol/L)

Coefficient of variation (%CV)

Plazo: Week 18

Metric of glycemic variability measured by the sensor (%)

Coefficient of variation (%CV)

Plazo: Week 22

Metric of glycemic variability measured by the sensor (%)

Coefficient of variation (%CV)

Plazo: Week 26

Metric of glycemic variability measured by the sensor (%)

Coefficient of variation (%CV)

Plazo: Week 30

Metric of glycemic variability measured by the sensor (%)

Coefficient of variation (%CV)

Plazo: Week 34

Metric of glycemic variability measured by the sensor (%)

Coefficient of variation (%CV)

Plazo: Week 37

Metric of glycemic variability measured by the sensor (%)

Standard deviation (SD)

Plazo: Week 18

Metric of glycemic variability measured by the sensor (mg/dL and mmol/L)

Standard deviation (SD)

Plazo: Week 22

Metric of glycemic variability measured by the sensor (mg/dL and mmol/L)

Standard deviation (SD)

Plazo: Week 26

Metric of glycemic variability measured by the sensor (mg/dL and mmol/L)

Standard deviation (SD)

Plazo: Week 30

Metric of glycemic variability measured by the sensor (mg/dL and mmol/L)

Standard deviation (SD)

Plazo: Week 34

Metric of glycemic variability measured by the sensor (mg/dL and mmol/L)

Standard deviation (SD)

Plazo: Week 37

Metric of glycemic variability measured by the sensor (mg/dL and mmol/L)

HbA1C

Plazo: Week 18

Blood glycated hemoglobin measurement (% and mmol/mol)

HbA1C

Plazo: Week 22

Blood glycated hemoglobin measurement (% and mmol/mol)

HbA1C

Plazo: Week 26

Blood glycated hemoglobin measurement (% and mmol/mol)

HbA1C

Plazo: Week 30

Blood glycated hemoglobin measurement (% and mmol/mol)

HbA1C

Plazo: Week 34

Blood glycated hemoglobin measurement (% and mmol/mol)

HbA1C

Plazo: Week 37

Blood glycated hemoglobin measurement (% and mmol/mol)

Severe hypoglycemia episodes

Plazo: From recruitment until delivery.

Number of episodes of self-reported severe hypoglycemia.

Gestational weight gain

Plazo: From recruitment until delivery

Maternal gestational weight gain (kg)

Gestational weight gain from pre-pregnancy

Plazo: From pre-pregnancy until delivery

Self-reported maternal gestational weight gain (kg)

Pregnancy hypertensive disorders

Plazo: From recruitment until delivery

Preeclampsia, Eclampsia, Gestational hypertension

The mode of delivery

Plazo: At delivery

Vaginal, c-section, spontaneous, induction of labor

Birth trauma

Plazo: At delivery

IADPSG criteria

Gestational birth weight

Plazo: At delivery

Neonatal birth weight in grams

Macrosomia

Plazo: At delivery

Gestational birth weight \>4200g

Large-for-gestational-age (LGA)

Plazo: At delivery

Neonatal birth weight \>90th percentile

Small-for-gestational-age (SGA)

Plazo: At delivery

Neonatal birth weight \<10th percentile

Placental weight

Plazo: At delivery

Measured in grams

Gestational age

Plazo: At delivery

Timing of delivery

Preterm birth

Plazo: At delivery

\<37 weeks

Number of neonates with respiratory distress syndrome

Plazo: From delivery until hospital discharge, assessed up to 20 weeks postpartum

Defined as the number of neonates diagnosed with respiratory distress syndrome during the postnatal hospital stay, based on clinical signs of respiratory distress and the need for respiratory support, with or without radiological confirmation, according to local neonatal clinical practice.

Number of neonates with jaundice requiring phototherapy

Plazo: From delivery until hospital discharge, assessed up to 20 weeks postpartum

Defined as the number of neonates diagnosed with neonatal jaundice requiring phototherapy during the postnatal hospital stay. Phototherapy requirement will be determined according to local neonatal clinical practice based on serum or transcutaneous bilirubin assessment.

Number of neonates with neonatal hypoglycemia

Plazo: Assessed from delivery until 24 hours postpartum

Neonatal hypoglycemia - glucose concentrations in neonatal blood \<40 mg/dL (2.2 mmol/L) in a single laboratory measurement at least 3 hours after birth, in the first 24 hours of life

Stillbirth

Plazo: From week 22

Pregnancy loss after 22 weeks

Neonatal length of hospital stay

Plazo: From date of delivery until the date of hospital discharge, assessed up to 20 weeks

Duration of neonatal hospitalization, measured in days

Length of stay in the neonatal intensive care unit (NICU)

Plazo: From date of NICU admission until the date of NICU discharge, assessed up to 20 weeks

Duration of NICU stay, measured in days

Neonatal acidosis

Plazo: At delivery

Umbilical pH \<7.15

Apgar score

Plazo: At delivery

Apgar score \<8

El registro no indica resultados publicados.

Revisa las tablas completas y sus limitaciones en el registro oficial.

Abrir resultados oficiales ↗

Centros de investigación (1)

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1 centros

Heliodor Swiecicki Clinical Gynecology and Obstetrics Hospital of Poznan University of Medical SciencesPoznan, Wielkopolska, PolandReclutando
Ewa Wender-Ozegowska, Prof. MD PhDCONTACTewozegow@ump.edu.pl+48 (61) 841-93-02
Ewa Wender-Ozegowska, Prof. MD PhDPRINCIPAL_INVESTIGATOR
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Equipo y fechas

Patrocinador principal
Poznan University of Medical Sciences
Inicio del estudio
8 may 2026 Real
Finalización primaria
2028-10 Estimado
Finalización del estudio
2029-02 Estimado
Primera publicación
22 may 2026 Real
Última actualización
10 nov 2026 Real

Contactos oficiales del estudio

Ewa Wender-Ozegowska, Prof. MD PhDCONTACTewozegow@ump.edu.pl+48 (61) 841-93-02
Título oficial del estudio

Type 2 Diabetes and Pregnancy a Single-arm Interventional Study

EL PRÓXIMO PASO, CON APOYO HUMANO

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Fuente: API v2 de ClinicalTrials.gov. Patrocinadores e investigadores envían la información. La NLM no aprueba la seguridad ni la ciencia de todos los estudios registrados. Aviso del registro.

Consultado: 12 nov 2026 · Última actualización del registro: 10 nov 2026