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A Randomized Controlled Trial of Diabetes Screening Immediately Postpartum (DIP) and Follow Up PP CARE

A Randomized Controlled Trial of Diabetes Screening Immediately Postpartum (DIP) - Follow up Study: Patient Perspectives on Postpartum Interventions to Improve Future Maternal CARdiovascular hEalth After Gestational Diabetes (PP CARE)

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
18 Years and older
Sex
Female only
Healthy volunteers
Not accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

Not stated in the study description — ask the study team about visits and procedures.

Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

DIP compares diabetes testing before leaving the hospital after birth with testing 4–12 weeks later to see if more people get tested. It is for adults who had gestational diabetes, or diabetes during pregnancy. The PP CARE follow-up asks about heart health care, barriers to care, and wellness choices 12–24 months after birth.

DIP : To conduct a pragmatic, non-blinded randomized controlled trial (pRCT) of immediate in-patient postpartum OGTT prior to delivery discharge (intervention) versus 4-12 week outpatient postpartum OGTT (current standard care) to improve the frequency of post-partum diabetes screening among individuals with a pregnancy complicated by GDM. Follow up PP CARE: To engage with individuals with a history of GDM through a patient-centered mixed-methods survey and qualitative assessment to evaluate the barriers to and facilitators of Cardiovascular health (CVH) counseling and risk-reduction postpartum at the patient and healthcare system levels inclusive of Social determinants of health (SDOH) and structural factors, as well as patient preferences and perspectives on CVH and wellness interventions

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • DIP: Have just given birth and are still in the hospital for delivery.
  • DIP: Are age 18 or older and can give informed consent, meaning you understand and agree to join.
  • DIP: Have a provider-recorded diagnosis of diabetes during pregnancy, not diabetes that started before pregnancy.
  • DIP: Had a high result on a 1-hour, 50-gram blood sugar test, or two high results on a 3-hour, 100-gram blood sugar test during pregnancy.
  • DIP: Speak English or Spanish.
  • DIP: Receive care during pregnancy and after birth at OSU.
  • PP CARE: Are enrolled in DIP, speak English, and are 12–24 months past giving birth.

Who can't join

  • DIP: Cannot tolerate a 2-hour oral glucose tolerance test, which checks blood sugar after a sugary drink. Prior stomach bypass surgery is one example.
  • DIP: Do not speak English or Spanish.
  • PP CARE: Spanish-speaking DIP participants are excluded because the study team has no Spanish-speaking staff.

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

DIP - Inclusion Criteria: * Immediately postpartum individuals during their delivery hospital admission * ≥ 18 years old with the ability to give informed consent. * Diagnosed with GDM during pregnancy by: * Elevated one-hour 50-gram glucose challenge test any time during pregnancy AND provider documentation of gestational diabetes (NOT pregestational diabetes) diagnosis OR * Two elevated values on a 3-hour 100-gram glucose tolerance test any time in pregnancy AND provider documentation of gestational diabetes (NOT pregestational diabetes) diagnosis * English or Spanish speaking * Receiving prenatal and postpartum care at OSU DIP- Exclusion Criteria: * Individuals who cannot tolerate a 2-hour oral glucose tolerance test (OGTT) (i.e. history of gastric bypass) * Not English or Spanish speaking PP CARE Inclusion criteria: Enrolled DIP participants who are English speaking will be eligible for PP CARE follow up if they are between 12 and 24 months postpartum. PP CARE Exclusion criteria: Spanish speaking DIP participants will be excluded because the study team does not include anyone who is Spanish speaking.

Study sites (1)

OH