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Automated Insulin for Management of Intrapartum Glycemia

Automated Insulin for Management of Intrapartum Glycemia

Recruiting
13-55 years
Female
Phase N/A
  • Technical (Original)
  • Simplified (AI rewritten)

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Overview

The goal of this clinical trial is learn if automated insulin delivery (AID) systems can be used for glucose management during labor/delivery for pregnant people with type 1 diabetes (T1D). The main questions this study aims to answer are

  • What are the neonatal glycemic outcomes with use of AID systems during labor/delivery?
  • Do patients report higher birth satisfaction with use of AID systems during labor/delivery?
  • Are glycemic parameters like time-in-range (TIR) better with use of AID systems during labor/delivery?

Researchers will compare AID systems to intravenous (IV) insulin (the current standard of care for glucose management during labor/delivery) by randomly assigning participants to one or the other.

Eligibility

Inclusion Criteria:

  • Known diagnosis of type 1 diabetes ≥ 1 year
  • Current use of commercially available AID system ≥ 6 months
  • Currently pregnant at ≥ 34 weeks
  • Singleton pregnancy
  • English- or Spanish-speaking

Exclusion Criteria:

  • Planned cesarean delivery
  • Use of medications known to interfere with glucose metabolism
  • Intrauterine fetal demise
  • Physical or psychological disease likely to interfere with the conduct of the study and/or the ability to participate in own healthcare

Study details
    Type 1 Diabetes (T1D)
    Pregnancy
    Pre-Gestational Diabetes

NCT06883344

University of California, San Francisco

1 February 2026

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