Actively Recruiting
Community Health Worker-Led Postpartum Diabetes Screening
Led by Weill Medical College of Cornell University · Updated on 2026-05-06
330
Participants Needed
1
Research Sites
172 weeks
Total Duration
On this page
Sponsors
W
Weill Medical College of Cornell University
Lead Sponsor
E
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborating Sponsor
AI-Summary
What this Trial Is About
Women who experience gestational diabetes are at high risk of developing type 2 diabetes mellitus in the postpartum period-especially in low- and middle-income countries like India where the burden of diabetes is high and disproportionately affects women- but few receive the World Health Organization-recommended postpartum diabetes screening test. The investigators propose a cluster randomized clinical trial to determine whether community health worker-administered, home-based testing increases uptake of postpartum diabetes screening in the urban slums of Pune, India. The proposed study will provide an acceptable and scalable model that can be used to improve postpartum diabetes screening in other low-income settings, thereby improving early detection of diabetes in women and preventing morbidity and mortality in this high-risk population. A substudy will also test the effectiveness of a timed protein-fiber supplement in glucose control.
CONDITIONS
Official Title
Community Health Worker-Led Postpartum Diabetes Screening
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Pregnant woman residing in one of pre-selected slum communities
- 18 years or older
- 24 weeks gestational age or more (based on last menstrual period or ultrasound)
- Meets or exceeds gestational diabetes threshold by CHW-delivered fasting OGTT
- Agrees to study procedures including postpartum in-person visits if diagnosed with gestational diabetes
- Community Health Workers aged 18 or older willing to participate and recruit eligible women
- CHWs reside in study communities and agree with study goals
- Clinicians aged 18 or older with over 1 year in patient-facing diabetes or obstetrics roles
- Ministry of Health officials aged 18 or older employed in Maternal Health Division
You will not qualify if you...
- Preexisting diabetes diagnosis before current pregnancy
- Unable to tolerate food or drink and remain fasting for 8 hours
- Unwilling or unable to participate in study procedures or provide informed consent
- For CHWs, clinicians and Ministry officials: unwilling or unable to participate or consent
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 1 location
1
Deep Griha Society
Pune, Maharashtra, India, 411001
Actively Recruiting
Research Team
J
Jyoti S Mathad, MD, MSc
CONTACT
R
Radhika Sundararajan, MD, PhD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SCREENING
Number of Arms
4
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