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CTRI Number  CTRI/2024/06/069042 [Registered on: 18/06/2024] Trial Registered Prospectively
Last Modified On: 11/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Screening 
Study Design  Other 
Public Title of Study   Comparing the efficacy of Fasting Blood glucose versus IADPSG Criteria in diagnosis of Gestational Diabetes Mellitus. 
Scientific Title of Study   Comparing the efficacy of First Trimester Fasting Blood Glucose versus IADPSG Criteria at 24 to 28 weeks in Diagnosis of Gestational Diabetes Mellitus- A One year Prospective Observational study at KAHERs Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi. 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Chilukuri Anila Reddy 
Designation  PG Resident, 
Affiliation  Jawaharlal Nehru Medical College, KLE University 
Address  Department of Obstetrics and Gynecology, 1st Floor, Jawaharlal Nehru medical College, KLE University, Belagavi, Karnataka, India

Belgaum
KARNATAKA
590010
India 
Phone  8688547563  
Fax    
Email  dr.anila3@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kamal Patil 
Designation  Professor, Obstetrics and Gynecology 
Affiliation  Jawaharlal Nehru Medical College, KLE University  
Address  Department of Obstetrics and Gynecology, First floor, Jawaharlal Nehru Medical College, KLE University, Belagavi, Karnataka, India.

Belgaum
KARNATAKA
590010
India 
Phone  9845565454  
Fax    
Email  kamalpatil1967@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Chilukuri Anila Reddy 
Designation  PG Resident 
Affiliation  Jawaharlal Nehru Medical College, KLE University 
Address  Department of Obstetrics and Gynecology, First Floor, Jawaharlal Nehru Medical College, KLE University, Belagavi, Karnataka, India

Belgaum
KARNATAKA
590010
India 
Phone  8688547563  
Fax    
Email  dr.anila3@gmail.com  
 
Source of Monetary or Material Support  
KAHERs Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India. Pincode- 590010 
 
Primary Sponsor  
Name  Chilukuri Anila Reddy 
Address  Room Number- 605, New PG Ladies Hostel, JNMC Campus, Nehru Nagar, KLE University, Belagavi, Pincode - 590010 Karnataka India 
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Chilukuri Anila Reddy  Dr Prabhakar Kore Hospital and Medical Research Centre, Belagavi.  G+0 Floor, OPD Number 10, Department of Obstetrics and Gynecology, Dr. Prabhakar Kore Hospital, Nehru Nagar, Belagavi, Karnataka.
Belgaum
KARNATAKA 
8688547563

dr.anila3@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
JNMC Institutional ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O244||Gestational diabetes mellitus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Fasting blood glucose versus IADPSG criteria   This particular study is being done in the same patient but different weeks of gestation of pregnancy. Details are in the same patient - fasting blood glucose in first trimester and based on the result , they are followed up for 24 to 28 weeks period of gestation to repeat IADPSG criteria. Everything clearly mentioned methodology. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  1. Pregnant women above 18 years of age
2. Pregnant women till their 28 weeks period of Gestation 
 
ExclusionCriteria 
Details  1. Pregnant women diagnosed with Pre Gestational Diabetes
2. Pregnant women on Corticosteroids. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To know the efficacy of Fasting blood glucose in First trimester and IADPSG Criteria in 24 to 28 weeks in diagnosis of Gestational Diabetes mellitus.  till 28 weeks period of Gestation. 
 
Secondary Outcome  
Outcome  TimePoints 
Feto Maternal Outcomes in Gestational Diabetes Mellitus  40 weeks 
 
Target Sample Size   Total Sample Size="175"
Sample Size from India="175" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   30/06/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   NEED FOR THE STUDY :

                          International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria that is most widely used for diagnosing GDM recommends that GDM can be diagnosed in 24 to 28 weeks period of gestation  if any of the values of fasting plasma glucose(FPG), 1-hour and 2-hour Plasma Glucose is equal to or above 92 mg/dl, 180 mg/dl or 153 mg/dl respectively. Fasting blood sugar measurement  at the time of first booking will be useful to screen for previously undiagnosed pre-existing diabetes and also help to predict the development of Gestational diabetes mellitus earlier. 

                        The main need for study is to compare the first trimester Fasting blood glucose against IADPSG criteria in 24 to 28 weeks period of gestation for diagnosis of GDM and to determine the diagnostic accuracy of these methods.  


STUDY PROTOCOL :

Subjects will be recruited according to the inclusion and exclusion criteria. 

A detailed history with physical examination will be taken.   

Participants in the study visiting antenatal OPD in their first trimester will be tested for Fasting blood glucose with overnight fast of atleast 8 hours.      

If the Fasting blood glucose is < 92 mg/dl then they will be diagnosed as Non GDM.    

If the Fasting blood glucose value is in between 92 to 125 mg/dl then they will be diagnosed as GDM.       

If the Fasting Blood glucose value is >/= 126 mg/dl then they will be diagnosed with Overt Diabetes.    

Participants who were diagnosed as Non GDM through the fasting blood glucose value < 92mg/dl during their first visit will be  advised to follow up during 24 to 28 weeks period of gestation and will be repeated with 75g  Oral glucose tolerance test( OGTT) according to IADPSG criteria after an overnight fast of atleast 8 hours. Venous blood sample was drawn at fasting, 1 hour and 2 hours after load with 75g of glucose.    

According to IADPSG criteria GDM can be diagnosed if any one of the values of Fasting plasma glucose, 1- hour and 2- hour plasma glucose is equal to or above 92 mg/dl, 180 mg/dl and 153 mg/dl respectively.

 

                                

 

 
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