A Study Comparing Dexcom Continuous Glucose Monitoring to Point of Care Glucose Testing for the Management of Hospital and Post-Discharge Subjects With Type 1 Diabetes

Last updated: October 6, 2025
Sponsor: Emory University
Overall Status: Active - Recruiting

Phase

N/A

Condition

Diabetes Prevention

Diabetes Mellitus Types I And Ii

Diabetes Mellitus, Type 1

Treatment

Capillary Blood glucose Testing (POC)

Dexcom G7 rtCGM

Clinical Study ID

NCT06752928
STUDY00008724
  • Ages > 18
  • All Genders

Study Summary

This study aims to compare inpatient glycemic control by measuring the percentage of time in the range of 70-180 mg/dl and the frequency of hypoglycemia between Dexcom G7 Continuous Glucose Monitoring (CGM) and Point of Care (POC) Blood Glucose Testing in poorly controlled subjects with Type 1 Diabetes Mellitus.

The main question it aims to answer is:

-Whether there is a difference between POC testing (standard of care) and Real-time CGM in glycemic control and hypoglycemic events during hospitalization:

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Known history of T1D treated with insulin therapy (human regular or rapid-actinganalogs or ultra-rapid analogs [lispro, aspart, glulisine, fast-acting insulinaspart, insulin lispro]), intermediate-acting (NPH and premixed formulations) orlong-acting basal (glargine, detemir, degludec) formulations.

  • Admission diagnosis of T1D with poorly controlled diabetes (blood glucose > 180mg/dl, HbA1c > 7%), including diabetic ketoacidosis (DKA) and hyperglycemichyperosmolar state (HHS).

  • Expected length of hospital stay > three days at the time of randomization

Exclusion

Exclusion Criteria:

  • Patients admitted to the ICU

  • Subjects using CGM technology before admission

  • Subjects with type 2 diabetes

  • Treatment with systemic immunosuppressive agents

  • Cystic fibrosis

  • Prisoners

  • Patients expected to require MRI procedures during hospitalization.

  • Female subjects who are pregnant or breastfeeding at enrollment into the study.

  • Subjects not willing to wear a CGM device

  • Subjects with clinically relevant hepatic disease (diagnosed liver cirrhosis andportal hypertension) and end-stage kidney disease (eGFR< 30 ml/min), or terminalillness.

  • Subjects with a history of cognitive impairment, dementia, or mental conditionrendering the subject unable to understand the nature and consequences of the study

Study Design

Total Participants: 100
Treatment Group(s): 2
Primary Treatment: Capillary Blood glucose Testing (POC)
Phase:
Study Start date:
May 12, 2025
Estimated Completion Date:
October 31, 2026

Study Description

The CDC reports that 1.6 million U.S. adults (5.7%) have type 1 diabetes (T1D), with hospitalization rates three times higher than the general population, primarily due to diabetes-related complications such as ketoacidosis and cardiovascular disease. A study at Emory University found that hospitalized T1D patients are younger, experience longer stays and more admissions, and face worse glycemic control and higher rates of hypoglycemia compared to type 2 diabetes (T2D) patients.

Point-of-care (POC) capillary glucose testing is the standard for monitoring hospitalized diabetes patients, but continuous glucose monitoring (CGM) offers more detailed glycemic profiles. Research, including trials using Dexcom CGM systems, has demonstrated CGM's superior ability to detect hypo- and hyperglycemia, reduce hypoglycemic events, and improve insulin therapy adjustments in T2D patients. However, no randomized controlled studies have evaluated the best glucose monitoring system for hospitalized T1D patients.

The proposed study aims to compare POC testing with Dexcom G7 CGM for guiding insulin therapy in hospitalized T1D patients. Researchers hypothesize that CGM will better prevent hypoglycemia and improve glycemic management during hospital stays, addressing a critical gap in evidence regarding glucose control's impact on T1D hospital outcomes.

Connect with a study center

  • Grady Memorial Hospital

    Atlanta, Georgia 30303
    United States

    Site Not Available

  • Grady Memorial Hospital

    Atlanta 4180439, Georgia 4197000 30303
    United States

    Active - Recruiting

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