Dysglycemia
Conditions
Brief summary
This prospective pilot study is exploratory in nature and is designed to evaluate the validity of continuous glucose monitor (CGM) use for perioperative glucose surveillance during scheduled Cesarean delivery for nondiabetic patients. Primary objective is characterization of perioperative glucose trends during elective Cesarean delivery in patients without diabetes and exploratory analyses will describe perioperative glucose patterns captured by CGM. Secondary objective is to examine rates of and associations with post-operative complications, including surgical site infections.
Interventions
Continuous glucose monitor during perioperative Cesarean delivery
Sponsors
Study design
Eligibility
Inclusion criteria
* singleton pregnancy * no prior diagnosis of diabetes (gestational included) * scheduled term cesarean delivery in Mount Sinai Health System * aged 18-50 years
Exclusion criteria
* preexisting diabetes mellitus * diagnosis of gestational diabetes mellitus (GDM) in the current pregnancy, based on standard prenatal screening * known endocrine disorder affecting glucose metabolism (such as Cushing syndrome, poorly controlled thyroid disorder, etc.) * use of antenatal steroids within the two weeks prior to delivery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| interstitial glucose from CGM device | from pre-operative appointment through end of postpartum hospital stay, up to ten days | glucose of interstitial fluid as measured by CGM device on participant's arm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of surgical site infection | Post-op through end of postpartum hospital say, up to ten days. | Diagnosis of surgical site infection as a measure of post-operative complications |
Countries
United States
Contacts
Faculty