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

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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.

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.

Inclusion Criteria:

- diagnosis of GDM

- 33 or less weeks gestation

Exclusion Criteria:

- multiple gestations

- history of glucose intolerance outside of pregnancy
We found this trial at
2
sites
3401 N Broad St
Philadelphia, Pennsylvania
(215) 707-2000
Temple University Hospital On January 18, 1892 a three-story house at 3403 North Broad Street...
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Philadelphia, PA
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1616 Physicians Drive
Tallahassee, Florida 32308
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Tallahassee, FL
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