Ignite Creation Date:
2024-05-06 @ 3:22 AM
Last Modification Date:
2024-10-26 @ 11:32 AM
Study NCT ID:
NCT02273193
Status:
COMPLETED
Last Update Posted:
2018-11-28
First Post:
2014-10-14
Brief Title:
Utility Of Hemoglobin A1C For The Diagnosis Of Gestational Diabetes
Sponsor:
Mike OCallaghan Military Hospital
Organization:
Mike OCallaghan Military Hospital
Study Overview
Official Title:
Utility Of Hemoglobin A1C HbA1C For The Diagnosis Of Gestational Diabetes Mellitus GDM
Status:
COMPLETED
Status Verified Date:
2018-11
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
A1cGDM
Brief Summary:
A prospective cohort research study is being conducted in the Mike OCallaghan Federal Medical Center MOFMC Department of Family Medicine Obstetrics Clinic to determine if early screening with hemoglobin A1C a blood test for blood glucose can be used to identify women with hyperglycemia or Gestational Diabetes Mellitus GDM in the first semester of pregnancy in place of a fasting blood glucose blood test This study will also determine how hemoglobin A1C compares with the oral glucose tolerance test GTT done as a standard of care with the standard of care second trimester prenatal care testing Subjects recruited and consented during the Obstetrics Orientation Class will have two 2 additional blood tests drawn with their standard of care prenatal tests in the first trimester 13 weeks of pregnancy and at the second trimester 24-28 weeks of pregnancy Subjects identified as having GDM by blood HbA1C fasting glucose or the 2 hr OGTT will be treated for GDM with standard of care by their primary care provider The correlation of blood HbA1C with the fasting glucose in the first trimester of pregnancy and with the 2 hr OGTT will be determined for early detection and diagnosis of GDM This study will contribute to understanding the role of HbA1C in pregnancy and the development of GDM
Detailed Description:
This is a prospective cohort research study conducted in the Mike OCallaghan Federal Medical Center MOFMC Department of Family Medicine Residency and Obstetrics Clinics Subjects will be pregnant female active duty or DoD beneficiaries 18 years or older recruited from the MOFMC Department of Family Medicine Residency Clinic and Obstetrics Orientation Class at Nellis AFB At the screening the Research Assistant discusses the study answers all questions obtains Informed Consent and schedules appointments for routine OB care The research design includes a screening visit to obtain written consent and two 2 additional laboratory blood tests obtained during the standard of care prenatal screen testing during the first and second trimesters of pregnancy Each laboratory blood test will be done via 1 venipuncture for 5-10 ml 1-2 teaspoons of blood The OB nurse orders all labs upon completion of the Obstetrics Orientation Class
Screening Visit Initial Standard of Care Obstetrics Appointment
Obtain subject signed Informed Consent document and HIPAA Authorization
Demographic data age race weight height estimated week of gestation
Review past medical history
First Trimester Prenatal Visit 13 weeks Screen Testing
Subjects will have routine prenatal labs drawn to include the HbA1C blood test which is standard of care
Subjects will have fasting 10 hour glucose blood test will be ordered along with these labs research driven
Second Trimester Prenatal Visit 24-28 weeks
Subjects will have routine prenatal labs drawn to include the 2 hr glucose tolerance test 2 hr OGTT which is standard of care
Subjects will have will be the HbA1C blood test ordered along with these labs research driven
Delivery and Neonatal Data Collection
-Select data regarding delivery and neonatal health will be tracked All of this data is already routinely collected as standard of care and will be found in the patient record This will require no interaction with the patient or the neonate
Screening Visit Initial Standard of Care Obstetrics Appointment
Obtain subject signed Informed Consent document and HIPAA Authorization
Demographic data age race weight height estimated week of gestation
Review past medical history
First Trimester Prenatal Visit 13 weeks Screen Testing
Subjects will have routine prenatal labs drawn to include the HbA1C blood test which is standard of care
Subjects will have fasting 10 hour glucose blood test will be ordered along with these labs research driven
Second Trimester Prenatal Visit 24-28 weeks
Subjects will have routine prenatal labs drawn to include the 2 hr glucose tolerance test 2 hr OGTT which is standard of care
Subjects will have will be the HbA1C blood test ordered along with these labs research driven
Delivery and Neonatal Data Collection
-Select data regarding delivery and neonatal health will be tracked All of this data is already routinely collected as standard of care and will be found in the patient record This will require no interaction with the patient or the neonate
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None