First neonatal blood sugar obtained within 2 hours of birth
| Group | Value | 95% CI |
|---|---|---|
| Intravenous Insulin Infusion | 49.2 | ± 22.6 |
| Continuous Subcutaneous Insulin Infusion (CSII) | 50.1 | ± 23.4 |
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Intravenous Insulin vs Subcutaneous Insulin Infusion in Intrapartum Management of Type 1 Diabetes Mellitus
Phase 4 trial testing Insulin in Type 1 Diabetes in 70 participants. Completed in 2 May 2023.
| Lead sponsor | Gianna Wilkie |
|---|---|
| Phase | Phase 4 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | single |
| Primary purpose | treatment |
| Enrollment | 70 |
| Start date | 15 March 2021 |
| Primary completion | 1 May 2023 |
| Estimated completion | 2 May 2023 |
| Sites | 1 location across United States |
Gianna Wilkie
18 and older, female only, with Type 1 Diabetes or Pregnancy, High Risk. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
First neonatal blood sugar obtained within 2 hours of birth
| Group | Value | 95% CI |
|---|---|---|
| Intravenous Insulin Infusion | 49.2 | ± 22.6 |
| Continuous Subcutaneous Insulin Infusion (CSII) | 50.1 | ± 23.4 |
Number of maternal blood sugars \< 60 mg/dL
| Group | Value | 95% CI |
|---|---|---|
| Intravenous Insulin Infusion | 5 | |
| Continuous Subcutaneous Insulin Infusion (CSII) | 1 |
Development of Diabetic Ketoacidosis during labor
| Group | Value | 95% CI |
|---|---|---|
| Intravenous Insulin Infusion | 0 | |
| Continuous Subcutaneous Insulin Infusion (CSII) | 0 |
Mode of Delivery (vaginal versus cesarean)
| Group | Value | 95% CI |
|---|---|---|
| Intravenous Insulin Infusion | 17 | |
| Continuous Subcutaneous Insulin Infusion (CSII) | 23 | |
| Intravenous Insulin Infusion | 16 | |
| Continuous Subcutaneous Insulin Infusion (CSII) | 11 | |
| Intravenous Insulin Infusion | 2 | |
| Continuous Subcutaneous Insulin Infusion (CSII) | 1 |
Neonatal Birthweight
| Group | Value | 95% CI |
|---|---|---|
| Intravenous Insulin Infusion | 3067.8 | ± 1035.8 |
| Continuous Subcutaneous Insulin Infusion (CSII) | 3293.3 | ± 883.7 |
Number of participants with shoulder dystocia
| Group | Value | 95% CI |
|---|---|---|
| Intravenous Insulin Infusion | 4 | |
| Continuous Subcutaneous Insulin Infusion (CSII) | 1 |
Number of participants with brachial plexus injury
| Group | Value | 95% CI |
|---|---|---|
| Intravenous Insulin Infusion | 0 | |
| Continuous Subcutaneous Insulin Infusion (CSII) | 0 |
Neonatal Apgar Score: The Apgar score is based on a total score of 1 to 10. The higher the score, the better the baby is doing after birth. A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health.
| Group | Value | 95% CI |
|---|---|---|
| Intravenous Insulin Infusion | 7 | |
| Continuous Subcutaneous Insulin Infusion (CSII) | 3 |
Received intervention for hypoglycemia (any oral, IV, or both)
| Group | Value | 95% CI |
|---|---|---|
| Intravenous Insulin Infusion | 18 | |
| Continuous Subcutaneous Insulin Infusion (CSII) | 20 |
Admission to level 2 or greater neonatal ICU. This is a marker for additional need for neonatal support and care after delivery.
| Group | Value | 95% CI |
|---|---|---|
| Intravenous Insulin Infusion | 16 | |
| Continuous Subcutaneous Insulin Infusion (CSII) | 17 |
Gestational age at delivery
| Group | Value | 95% CI |
|---|---|---|
| Intravenous Insulin Infusion | 35.6 | ± 3.6 |
| Continuous Subcutaneous Insulin Infusion (CSII) | 36.0 | ± 2.8 |
Requiring 2 or more hours of respiratory support or oxygen with associated diagnosis
| Group | Value | 95% CI |
|---|---|---|
| Intravenous Insulin Infusion | 4 | |
| Continuous Subcutaneous Insulin Infusion (CSII) | 2 |
The purpose of this study is to perform a randomized trial to investigate if intrapartum insulin delivery mechanisms reduces adverse outcomes associated with type 1 diabetes in pregnancy. The investigators aim to compare subcutaneous insulin pump versus intravenous insulin infusion with regard to the primary outcome of neonatal blood sugar.
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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