Steroid-induced Diabetes, Type 2 Diabetes
Conditions
Keywords
discharge, CGM
Brief summary
This is an investigator initiated prospective, randomized controlled trial which aims to compare two groups of patients with either type 2 or steroid-induced diabetes who are discharged with insulin. The intervention group will use the Libre 3 Plus continuous glucose monitoring (CGM) system at discharge, while the control group will use blinded CGM and fingerstick monitoring. Both the intervention and control groups will wear the sensor for 28 days post discharge and participate in telehealth diabetes management visits. The target enrollment for the study is 65 participants and participants are expected to be in the study for up to 35 days.
Interventions
Use of unmasked CGM after discharge
Masked CGM
Self-monitoring blood glucose
Sponsors
Study design
Intervention model description
randomized control trial
Eligibility
Inclusion criteria
* Adult 18 years or older. * Inpatient treatment for type 2 or steroid induced diabetes during hospitalization, with plan for insulin use after discharge.
Exclusion criteria
* Type 1 diabetes * Plan for discharge to rehabilitation/skilled nursing/hospice facility * Contra-indication to sensor placement * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| time in range 70-180 mg/dl | Day 20-30 | percent time in range for last 10 days of study |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 30 day time in range | Day 30 | Overall 30 day time in range |
| Percent time >180mg/dL | Day 30 | percent time in range on day 30 |
| Percent time >250mg/dL | Day 30 | percent time in range on day 30 |
| Percent time <70mg/dL | Day 30 | percent time in range on day 30 |
| Percent time <54mg/dL | Day 30 | percent time in range on day 30 |
Countries
United States
Contacts
Icahn School of Medicine at Mount Sinai