Trial of Community Health Workers to Improve Postpartum Type 2 Diabetes Screening in Women with Gestational Diabetes in Urban Slums of India

What this Trial Is About

Researchers are studying women in urban slums of Pune, India, who have gestational diabetes to see if community health workers CHWs can help increase postpartum screening for type 2 diabetes. The study compares home-based oral glucose tolerance tests OGTT delivered by CHWs with referral to clinic-based screening. This trial also includes a substudy investigating the effect of a timed protein-fiber supplement on glucose control in these women. Participants are divided into two groups one group receives CHW-delivered home OGTT testing and education about type 2 diabetes at home during the first postpartum year, while the other group receives CHW-delivered education and referral for clinic-based OGTT screening. A nutritional intervention will have some women consume a protein-fiber supplement either before or after meals in alternating periods during postpartum follow-up. Throughout the study, CHWs will contact and visit women diagnosed with gestational diabetes to arrange screening and education. Researchers will measure the number of women completing OGTT screening within the first year postpartum, monitor glucose levels, and assess the acceptability and feasibility of the nutrition intervention. Follow-up includes monitoring pregnancy complications and conducting laboratory tests up to two years postpartum, with total participation lasting up to two years.

Community Health Worker-Led Postpartum Diabetes Screening