Oral Glucose Tolerance Testing After Gestational Diabetes
Study Details
Study Description
Brief Summary
This is an observation study of women with gestational diabetes. Subjects recruited undergo immediate postpartum diabetic screening prior to discharge. Post-partum screening for overt diabetes is repeated 6-12 weeks postpartum. The outcome of interest is the utility of an immediate post partum screen for overt diabetes compared to a traditional 6 week test.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Gestational diabetes Primary cohort is women with diagnosis of gestational diabetes without evidence of overt diabetes |
Outcome Measures
Primary Outcome Measures
- Primary outcome: sensitivity of immediate post partum screen [Immediate post partum]
2 hour fasting 75g OGTT immediately post partum. This is compared to a traditional 6 week post partum 75g OGTT for the sensitivity, positive and negative predictive value of the immediate post partum test
Secondary Outcome Measures
- Secondary outcome: physiology [3 time points: antepatum, immediate postpartum, 6 weeks post partum]
A small sub-cohort of women will undergo an additional 2 hour fasting 75g OGTT in the third trimester with measurements of insulin, cytokines, lipids.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Singleton pregnancy
-
Gestational diabetes
Exclusion Criteria:
-
Multiple gestations
-
pre-pregnancy diabetes
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University Hospital | Cleveland | Ohio | United States | 44106 |
2 | MetroHealth Medical Center | Cleveland | Ohio | United States | 44109 |
Sponsors and Collaborators
- MetroHealth Medical Center
- Centers for Disease Control and Prevention
- Loyola University
Investigators
- Principal Investigator: Thaddeus Waters, MD, Loyola University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IRB12-00581