Randomized Translational Study to Examine the Effects of Shared Care in Management of Gestational Diabetes
A Randomized Translational Study to Examine the Effects of Shared Care Versus Usual Care in Management of Gestational Diabetes in a Three-tier Prenatal Care Network in Tianjin, China
1 other identifier
interventional
948
1 country
1
Brief Summary
Research question (s)/hypothesis:
- 1.. The effectiveness of the shared care management of gestational diabetes mellitus;
- 2.. The cost-effectiveness of the shared care management;
- 3.. Its sustainability
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2010
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2010
CompletedFirst Submitted
Initial submission to the registry
March 21, 2012
CompletedFirst Posted
Study publicly available on registry
March 28, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2013
CompletedResults Posted
Study results publicly available
June 9, 2015
CompletedJuly 7, 2015
June 1, 2015
2.8 years
March 21, 2012
May 21, 2015
June 9, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The Rate of Macrosomia.
Macrosomia is defined as birthweight ≥ 4000 gram.
At the time of birth.
Secondary Outcomes (1)
The Rate of Pregnancy-induced Hypertension.
From enrolment at 24-28 gestational weeks till after delivery, an average of 12 weeks.
Study Arms (2)
The usual care arm
ACTIVE COMPARATORThe shared care arm
ACTIVE COMPARATORInterventions
* Individualized dietary and physical activity consultation plus group diabetes education * Self blood glucose monitoring * Insulin therapy if indicated * Self blood glucose monitoring * Insulin therapy institutions if indicated;
Eligibility Criteria
You may qualify if:
- All pregnant women who are diagnosed to have GDM.
You may not qualify if:
- Diagnosis of overt diabetes during OGTT;
- Younger than 18 years of age;
- Non-singleton pregnancy;
- Maternal-foetal ABO blood type incompatibility;
- Maternal diseases such as chronic hypertension,thyrotoxicosis, prepregnancy diabetes and use of long-term medications that may affect glucose metabolism.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Tianjin Women and Children's Health Centerlead
- Tianjin Medical Universitycollaborator
- Pennington Biomedical Research Centercollaborator
Study Sites (1)
Tianjin Women and Children's Health Center
Tianjin, Tianjin Municipality, China
Related Publications (2)
Li J, Liu J, Zhang C, Liu G, Leng J, Wang L, Li W, Yu Z, Hu G, Chan JCN, Yang X. Effects of Lifestyle Intervention of Maternal Gestational Diabetes Mellitus on Offspring Growth Pattern Before Two Years of Age. Diabetes Care. 2021 Mar;44(3):e42-e44. doi: 10.2337/dc20-2750. Epub 2021 Jan 25. No abstract available.
PMID: 33495293DERIVEDYang X, Tian H, Zhang F, Zhang C, Li Y, Leng J, Wang L, Liu G, Dong L, Yu Z, Hu G, Chan JC. A randomised translational trial of lifestyle intervention using a 3-tier shared care approach on pregnancy outcomes in Chinese women with gestational diabetes mellitus but without diabetes. J Transl Med. 2014 Oct 28;12:290. doi: 10.1186/s12967-014-0290-2.
PMID: 25349017DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Exclusion of 242 women with GDM diagnosed from 10 Nov 2011 to 31 Jul 2012 due to potential contaminations due to logistic reasons.
Results Point of Contact
- Title
- Dr. Xilin Yang
- Organization
- Tianjin Medical University
Study Officials
- STUDY CHAIR
Gongshu Liu, MD
Women and Children's Health Center
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 21, 2012
First Posted
March 28, 2012
Study Start
September 1, 2010
Primary Completion
June 1, 2013
Study Completion
September 1, 2013
Last Updated
July 7, 2015
Results First Posted
June 9, 2015
Record last verified: 2015-06