Increasing Use of Continuous Glucose Monitors in Publicly-insured Youth With Type 1 Diabetes

Stanford University

Status: Terminated

Conditions: Type1diabetes

Treatments: Behavioral: gamification; Behavioral: Use of Dexcom G5

Study type: Interventional

Funder types: Other

Identifiers

NCT03297762

IRB-36423

Details and patient eligibility

About

To use an enhanced continuous glucose monitor (CGM) experience, including an automated CGM-electronic health record (EHR) data integration system, proactive interventions, and gamification techniques, to increase CGM use among publicly-insured youth with type 1 diabetes (T1D).

Full description

The investigators will use an automated data integration system to monitor hours per week the CGM is worn and target interventions/troubleshooting techniques as needed. The investigators will use gamification techniques (i.e. ability to gain points and achieve small rewards) to help encourage CGM use and potentially improve glycemic control in this at-risk population.

Enrollment: 4 patients

Sex: All

Ages: 13 to 19 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• type 1 diabetes for more than 6 months
• on insulin pump or multiple daily injections without plans to change modality in next 6 months
• insured by CCS or Medi-Cal
• receiving care at Lucile Packard Children's Hospital or Stanford Children's Health outpatient clinics
• English or Spanish-speaking

Exclusion criteria

• major illness or condition that may alter glucose control or ability to complete the study including pregnancy, cystic fibrosis, cancer, liver disease, history of transplant, or hemoglobinopathy
• current oral glucocorticoid use
• prior use of a CGM system
• hemoglobin A1C <7.5% or >12%
• no wireless internet access

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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4 participants in 2 patient groups

Gamification

Experimental group

Description:

Use of continuous glucose monitor (Dexcom G5) with proactive intervention and incentives for time in use.

Treatment:

Behavioral: Use of Dexcom G5

Behavioral: gamification

Standard care

Active Comparator group

Description:

Use of continuous glucose monitor (Dexcom G5) per usual care.

Treatment:

Behavioral: Use of Dexcom G5