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Effect of Continuous Glucose Monitoring System on Glycemic Control in Non-insulin-Treated Elderly People With Type 2 Diabetes: a Randomized Controlled Trial
Led by Shanghai 6th People's Hospital · Updated on 2026-04-13
148
Participants Needed
15
Research Sites
17 weeks
Total Duration
On this page
Sponsors
S
Shanghai 6th People's Hospital
Lead Sponsor
S
Shenzhen Center for Chronic Disease Control
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating if using a continuous glucose monitoring (CGM) system helps improve blood sugar control in older adults with type 2 diabetes who manage their condition with oral medications only. This study compares continuous glucose monitoring to the standard fingerstick blood glucose monitoring to see which method better manages glucose levels and affects psychological well-being in this population. Participants will be assigned to one of two groups: the CGM group will use a CGM sensor every two months and be instructed on its use, including checking blood glucose when symptoms do not match CGM readings. The blood glucose meter (BGM) group will use a fingerstick glucose meter about twice a week but can check more often if desired. The study lasts six months with follow-up visits every two months. During the study, participants will visit the clinic every two months for check-ups and keep a glucose diary when not using CGM. Researchers will measure changes in HbA1c after 24 weeks, along with time spent in blood glucose target ranges, glucose variability, and average glucose levels. This trial is sponsored by Shanghai 6th People's Hospital and runs until mid-2027.
CONDITIONS
Brief Title
Effect of Continuous Glucose Monitoring System on Glycemic Control in Non-insulin-Treated Elderly People With Type 2 Diabetes
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 60 years or older at the time of screening
- Diagnosed with type 2 diabetes mellitus
- Treated with two or more oral antidiabetic drugs with a stable medication regimen for at least 3 months prior to entry
- Suboptimal glycemic control with HbA1c between 7.5% and 10% at screening or within 30 days prior
- Has a smartphone compatible with CGM and BGM systems
- Willing and able to provide written informed consent
- At least 240 hours (10 out of 14 days) of sensor glucose data from the blinded CGM pre-randomization phase
You will not qualify if you...
- Use of insulin or GLP-1 receptor agonists within 3 months prior to screening
- Use of any CGM device within 3 months prior to screening
- Unable to tolerate tape adhesive or with allergy or serious skin diseases around sensor placement area
- Considered unsuitable by investigators due to conditions like dementia, psychiatric disorders, or severe visual or hearing impairment
- Planned surgery or procedures within 6 months that may interfere with follow-up visits
- Current or expected acute use of glucocorticoids affecting glycemic control
- Estimated glomerular filtration rate (eGFR) less than 30 ml/min/1.73m2
- Participation in another clinical trial within 3 months prior to screening or planning concurrent trial participation
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 24 weeks
Participants use either a continuous glucose monitoring (CGM) device or a blood glucose meter (BGM) to monitor glucose levels and manage glycemic control.
Visits every 2 months for CGM sensor use; fingerstick glucose checks with BGM group recommended twice weekly
Trial Site Locations
Total: 15 locations
1
Shenzhen Jiangangshan Health Service Center
Shenzhen, Guandong, China, 518000
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2
Shenzhen Fifth Avenue Health Service Station
Shenzhen, Guangdong, China, 518000
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3
Shenzhen Haifu Health Service Station
Shenzhen, Guangdong, China, 518000
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4
Shenzhen Haile Huafu Health Service Station
Shenzhen, Guangdong, China, 518000
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5
Shenzhen Haiyu Health Service Station
Shenzhen, Guangdong, China, 518000
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6
Shenzhen Jiaan Health Service Station
Shenzhen, Guangdong, China, 518000
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7
Shenzhen Jiari Mingju Health Service Station
Shenzhen, Guangdong, China, 518000
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8
Shenzhen Xinan Lake Health Service Station
Shenzhen, Guangdong, China, 518000
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9
Shenzhen Xingdong Health Service Station
Shenzhen, Guangdong, China, 518000
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10
Shenzhen Zhongliang Chuangxin Health Service Station
Shenzhen, Guangdong, China, 518000
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11
Shenzhen Buxin Community Health Service Center
Shenzhen, Guangdong, China
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12
Shenzhen Dalang Community Health Service Center
Shenzhen, Guangdong, China
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13
Shenzhen Haihua Community Health Service Center
Shenzhen, Guangdong, China
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14
Shenzhen Haile Community Health Service Station
Shenzhen, Guangdong, China
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15
Shenzhen Pingzhou Community Health Service Center
Shenzhen, Guangdong, China
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Research Team
J
Jian Zhou, Prof., Dr., Ph.D
Y
Yaxin Wang, Dr.
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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