About this trial

This is a multicenter randomized clinical trial of 828 overweight and obese individuals with gestational diabetes designed to compare standard to intensive glycemic targets.

Eligibility criteria

Qualifiers

Pregnant women between the ages of 18-45

Singleton gestation

Gestational age between 12 0/7-32 6/7 weeks' gestation with gestational diabetes diagnosed during this time frame using either a 50g 1-hr GCT ≥200 mg/dL or two or more abnormal values on a 100g OGTT using the Carpenter-Coustan Criteria

Overweight or obese BMI at the first prenatal visit (BMI ≥25 kg/m2 or ≥23 kg/m2 in Asian Americans)

Disqualifiers

Inability or unwillingness to provide informed consent

Inability to communicate with members of the study team, despite the presence of an interpreter

Planned delivery at a non-study affiliated hospital

Known renal disease with a baseline creatinine >1.5 mg/dL

Trial design

Treatments tested in this trial

  • Intensive glycemic targets
  • Standard glycemic targets

Treatment groups

828 Participants
are divided into 2 treatment groups

Locations

5
University of Alabama at Birmingham35294, BirminghamAlabama, United States
Indiana University46202, IndianapolisIndiana, United States
University of Oklahoma73019, NormanOklahoma, United States
University of Pittsburgh15260, PittsburghPennsylvania, United States

Sponsors and collaborators

Indiana University

Lead sponsor

University of Pittsburgh

Collaborator

University of Alabama at Birmingham

Collaborator

University of Oklahoma

Collaborator

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator

Women and Infants Hospital of Rhode Island

Collaborator