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Group Versus Traditional Prenatal Care for Diabetes

Active Not RecruitingNA

Sponsor: Washington University School of Medicine

Conditions: Pregnancy, Gestational Diabetes, Type 2 Diabetes

Interventions: Group prenatal care

Countries: United States

The investigators primary objective is to conduct a randomized trial to determine the effect of diabetes group prenatal care on glycemic control and postpartum weight retention in women with type 2 diabetes and gestational diabetes.

Eligibility overview

Sex: FEMALE

Age: 18 Years to 50 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

1. English speaking
2. Type 2 diabetes OR gestational diabetes diagnosed by 2-step method(1) OR likely pre-existing Type 2 diabetes with one of the following during pregnancy and \</= 34 weeks:

   1. 1 hour glucose challenge test \>/= 185mg/dL OR
   2. A1c \>/= 6.5% OR
   3. Fasting plasma glucose \> 126mg/dL (2)
3. Ability to attend group prenatal visit at specified days and times
4. Willingness to be randomized at 22 weeks 0 days-34 weeks 0 days OR initial visit between 24 weeks 0 days-34 weeks 0 days
5. Ability to give informed consent

Exclusion Criteria:

1. Prior participation in diabetes group care
2. Type 1 Diabetes
3. Multiple gestation
4. Major fetal anomaly
5. Serious medical co-morbidity necessitating more care than can be safely provided in group setting, as deemed by medical provider.
6. Serious psychiatric illness including schizophrenia necessitating more care than can safely be provided in group setting, as deemed by medical provider.

Locations (2)

St Louis, Missouri, United States
Salt Lake City, Utah, United States