Improving Outcomes in Underserved Women With GDM
| Status: | Completed |
|---|---|
| Conditions: | Women's Studies, Diabetes |
| Therapuetic Areas: | Endocrinology, Reproductive |
| Healthy: | No |
| Age Range: | 18 - 45 |
| Updated: | 10/22/2017 |
| Start Date: | August 2007 |
| End Date: | July 2010 |
Our objective is to test an innovative approach to improve outcomes among underserved women
with gestational diabetes. We ill utilize a multi-lingual, Interactive Voice Response (IVR)
-enabled telephone system to facilitate diabetes control and thereby improve pregnancy
outcomes. Our hypothesis is that Telemonitoring will improve maternal glycemia, thereby
reducing infant birth weights and leading to improved pregnancy outcomes.
with gestational diabetes. We ill utilize a multi-lingual, Interactive Voice Response (IVR)
-enabled telephone system to facilitate diabetes control and thereby improve pregnancy
outcomes. Our hypothesis is that Telemonitoring will improve maternal glycemia, thereby
reducing infant birth weights and leading to improved pregnancy outcomes.
Using a step care design, women will be randomized into standard of care or Telemonitoring.
In the standard of care group, women will monitor their blood glucose levels four times a
day, perform fetal movement counting three times a day and also record insulin doses. The
women will record this information in a logbook, which will be reviewed by the medical team
at prenatal visits. In the Telemonitoring group, women will receive the standard of care anmd
will also transmit their blood glucose and fetal movement information to their health care
providers.
In the standard of care group, women will monitor their blood glucose levels four times a
day, perform fetal movement counting three times a day and also record insulin doses. The
women will record this information in a logbook, which will be reviewed by the medical team
at prenatal visits. In the Telemonitoring group, women will receive the standard of care anmd
will also transmit their blood glucose and fetal movement information to their health care
providers.
Inclusion Criteria:
- diagnosis of GDM
- 33 or less weeks gestation
Exclusion Criteria:
- multiple gestations
- history of glucose intolerance outside of pregnancy
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