Managing Type 1 and High Risk Type 2 Diabetes in the Hospital Setting: Glucose as a Vital Sign
CGM
1 other identifier
interventional
157
1 country
1
Brief Summary
This program will provide patients with type 1 and high risk type 2 diabetes the safest hospitalization by using wireless continuous glucose monitoring devices (CGM) to track their glucose parameters in real-time similar to other continuously monitored vital signs. The CGM will inform a team of health professionals who will monitor the patients' progress, communicate recommendations, and be available for discussion when recommended targets are not achieved. Health teams will utilize sensor results in addition to existing electronic medical records data to evaluate progress and manage care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2015
Longer than P75 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
May 1, 2015
CompletedFirst Submitted
Initial submission to the registry
October 12, 2016
CompletedFirst Posted
Study publicly available on registry
March 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 17, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
March 17, 2020
CompletedResults Posted
Study results publicly available
October 15, 2025
CompletedOctober 15, 2025
September 1, 2025
4.9 years
October 12, 2016
July 28, 2025
September 26, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Type 2 Diabetes Blood Glucose Time in Range (70-180 mg/dL)
Percentage of time a person's blood glucose level stays within a specific range of 70-180 mg/dL
Up to 30 days
Type 2 Diabetes Blood Glucose Time in Range (70-200 mg/dL)
Percentage of time a person's blood glucose level stays within a specific range on 70-200 mg/dL
Up to 30 days
Type 2 Diabetes Blood Glucose Time in Range (70-250 mg/dL)
Percentage of time a person's blood glucose level stays within a specific range on 70-250 mg/dL
Up to 30 days
Secondary Outcomes (2)
Percentage Time in Hypoglycemia (<70 mg/dL)
Up to 30 days
Percentage Time in Hyperglycemia (>250 mg/dL)
Up to 30 days
Study Arms (2)
Intervention
EXPERIMENTALFor type 2 patients in the intervention group, CGM data will be viewed real-time.
Control
EXPERIMENTALFor type 2 patients in the control group, CGM data is blinded to all and only gathered for comparison purposes to intervention group.
Interventions
Eligibility Criteria
You may qualify if:
- Expected length of hospital stay of at least 48 hours
- One of the following:
- Diagnosed with diabetes type 1 OR
- Diagnosed with diabetes type 2, with an HbA1c \> 8% or 3 point-of-care blood glucose (POC) \> 200, and requiring insulin during this hospitalization.
- Literate in English or Spanish
You may not qualify if:
- Pregnant or post-partum
- Patient admitted to OB unit
- Patient in ICU or with insulin drip
- Known allergy to adhesives
- Anticipated CT/MRI/diathermy procedure within 48 hours from admission (patients with a planned operation within 48 hours from admission may be included in the study post operation).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Scripps Whittier Diabetes Institute
La Jolla, California, 92037, United States
Related Publications (1)
Fortmann AL, Spierling Bagsic SR, Talavera L, Garcia IM, Sandoval H, Hottinger A, Philis-Tsimikas A. Glucose as the Fifth Vital Sign: A Randomized Controlled Trial of Continuous Glucose Monitoring in a Non-ICU Hospital Setting. Diabetes Care. 2020 Nov;43(11):2873-2877. doi: 10.2337/dc20-1016. Epub 2020 Aug 27.
PMID: 32855160DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
The control group was not considered ethical for the T1D arm; therefore, no comparison data was available.
Results Point of Contact
- Title
- Athena Philis-Tsimikas
- Organization
- Scripps Health
Study Officials
- PRINCIPAL INVESTIGATOR
Athena Philis-Tsimikas, MD
Scripps Whittier Diabetes Institute
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Corporate Vice President
Study Record Dates
First Submitted
October 12, 2016
First Posted
March 1, 2017
Study Start
May 1, 2015
Primary Completion
March 17, 2020
Study Completion
March 17, 2020
Last Updated
October 15, 2025
Results First Posted
October 15, 2025
Record last verified: 2025-09
Data Sharing
- IPD Sharing
- Will not share