Actively Recruiting

Phase 4
Age: 18Years +
FEMALE
NCT07293715

Permissive Versus Strict Intrapartum Glucose Management in Type 1 Diabetes (PRISM-T1D)

Led by Ohio State University · Updated on 2026-04-29

44

Participants Needed

1

Research Sites

65 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

PRISM-TID is a single center non-inferiority randomized controlled trial of permissive intrapartum glucose management (intervention) versus strict intrapartum glucose management (standard of care) among pregnant individuals with type 1 diabetes (T1D) using hybrid closed loop therapy (HCL) who are admitted for labor management. Participants will be randomized in a 1:1 fashion to one of two intrapartum glycemic control options: permissive (70-140 mg/dL) or strict (70-110 mg/dL). The primary aim of this trial it to demonstrate that permissive intrapartum glucose management is not associated with an increased risk of neonatal dysglycemia compared with strict intrapartum glucose management.

CONDITIONS

Official Title

Permissive Versus Strict Intrapartum Glucose Management in Type 1 Diabetes (PRISM-T1D)

Who Can Participate

Age: 18Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Pregnant individuals
  • 18 years old or older
  • Diagnosis of type 1 diabetes
  • Planning vaginal delivery and admitted to Labor and Delivery
  • Single fetus without anomalies
  • Gestational age 35 weeks or more
  • Cervical dilation less than 6 cm
  • Delivering at the study hospital
Not Eligible

You will not qualify if you...

  • Scheduled cesarean delivery
  • Cervical dilation 6 cm or more at admission
  • Received antenatal corticosteroids within 7 days before randomization
  • Fetal demise
  • Major fetal anomaly
  • Multiple gestation
  • Non-English speaking

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

The Ohio State University Wexner Medical Center OB/GYN Maternal and Fetal Medicine

Columbus, Ohio, United States, 43210

Actively Recruiting

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Research Team

A

Anna Brewton, MD

CONTACT

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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