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CompletedNCT06643611Updated Nov 3, 2025

Addressing Disparities in Diabetes Care

An interventional study of Continuous Glucose Monitor and Usual Care in Diabetes Mellitus, Type 2, sponsored by Wake Forest University Health Sciences. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-11-03.

Sponsored by Wake Forest University Health Sciences · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this research is to find out if using a continuous glucose monitor and working with a clinical pharmacist can help improve the health of uninsured minority patients with type 2 diabetes.

Read the detailed description

The objective of this research is to determine the effectiveness of a targeted intervention that integrates continuous glucose monitors and pharmacist-led comprehensive medication management services among uninsured adult patients with poor glycemic control on basal insulin, specifically focusing on Black and Hispanic populations. This pilot study is designed to help justify implementing this intervention on a larger scale within our healthcare system.

02

Conditions studied

  • Diabetes Mellitus, Type 2
03

In context

Diabetes Mellitus, Type 2

9,359 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,318 are open to participants now.

This study's enrollment of 20 is below the median of 80 across 7,525 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

Wake Forest University Health Sciences is the lead sponsor of 1,320 studies on the registry; 199 are open to participants now.

Of its 323 completed or terminated interventional studies of FDA-regulated products, 243 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Hispanic or non-Hispanic Black
  • Diagnosis of Type 2 diabetes
  • HbA1c ≥8% within the past 3 months
  • Active prescription for insulin and injecting at least 1 time daily

Exclusion criteria

Exclusion Criteria:

  • Gestational diabetes
  • Type 1 diabetes
  • Receiving care by endocrinologist
  • Continuous glucose monitor use within the past 6 months
  • Receiving long term, hospice, or palliative care services
  • Malignant cancer
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Continuous Glucose Monitor

    Patients in the intervention arm will receive a continuous glucose monitor in addition to usual care. These patients will be scheduled at least once monthly for clinical pharmacy visits.

    Behavioral: Continuous Glucose Monitor

  • Active comparator
    Usual Care

    Patients in the usual care arm will have routine physician office visits every 3 months if HbA1c outside goal or every 6 months if HbA1c within goal. Medication regimens will be managed by physicians, nurse practitioners, and physician assistants.

    Behavioral: Usual Care

Interventions

  • BehavioralContinuous Glucose Monitor

    Patient will be provided a continuous glucose monitor. Pharmacist will provide information regarding how to best manage type 2 diabetes.

  • BehavioralUsual Care

    Routine physician office visits and hemoglobinA1c every 3 for those with HbA1c outside goal and every 6 months for those with HbA1c within goal. Medication regimens managed by physicians, nurse practitioners, and physician assistants. Patients are sent reminders on the phone prior to their visits or when they are due for a visit or any physical examination.

06

What researchers measure

Primary outcomes

  1. Change in Hemoglobin A1c

    Change in percentage for Hemoglobin A1c. Normal range for hemoglobin A1c is 4.2%-14%. A low level indicates no diabetes and a high level indicates uncontrolled diabetes.

    Time frame: Baseline to Month 6

Secondary outcomes

  1. Appraisal of Diabetes Scale

    Health-related quality of life will be measured using Appraisal of Diabetes scale (ADS). The ADS is a diabetes-specific quality of life instrument. It consists of 7 items on how diabetes affects the respondent. The score of each item ranges from 0 to 5 with 0 representing the least effect of diabetes and 5 the greatest effect of diabetes. The total score is calculated by summing the scores of individual items.

    Time frame: Baseline, 1 Month Post Intervention

  2. Diabetes Treatment Satisfaction Questionnaire

    Treatment satisfaction will be measured using the Diabetes Treatment Satisfaction Questionnaire (DTSQ). The DTSQ includes eight items on satisfaction with diabetes treatment, convenience, flexibility, understanding of diabetes, possibility of continuation of the current treatment and recommendation to others. Each item is scored on a scale from 0 to 6, with higher score indicating higher satisfaction.

    Time frame: Baseline, 1 Month Post Intervention

  3. Change in Medication Adherence

    Medication adherence will be determined from prescription fill data and reported in the form of medication possession ratio (the sum of days of supply during a time period divided by the number of days in that time period). The change during six months before and after intervention start (time of assessment of study criteria for the control group) will be reported.

    Time frame: 6 Months Post Intervention

  4. Number of Hours Glucose Level in Normal Range

    Number of hours patient's glucose level is within normal range of 70-100.

    Time frame: Week 1 and 2 of intervention, Last Two Weeks of Intervention

  5. Number of Hours Glucose Level Above Normal Range

    Number of hours patient's glucose level is above normal range of 70-100.

    Time frame: Week 1 and 2 of intervention, Last Two Weeks of Intervention

  6. Number of Hours Glucose Level Below Normal Range

    Number of hours patient's glucose level is below normal range of 70-100.

    Time frame: Week 1 and 2 of intervention, Last Two Weeks of Intervention

  7. Average Glucose Level

    Average glucose level during the first two weeks of intervention. Normal range is 70-100 mg/dL. A low-level average indicates good glycemic control. A high level indicates uncontrolled diabetes.

    Time frame: Week 1 and 2 of intervention, Last Two Weeks of Intervention

  8. Glucose Management Indicator Percentage

    The glucose management indicator is an updated approach for estimating hemoglobin A1c from continuous glucose monitoring data. Range is 5.7%-14%.

    Time frame: Week 1 and 2 of intervention, Last Two Weeks of Intervention

07

Study locations

1 site
  • Atrium Health Myers Park Internal Medicine Clinic
    Charlotte, North Carolina 28207, United States
08

References and documents

Study documents

  • Informed consent form · Nov 15, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06643611
Lead sponsor
Wake Forest University Health Sciences
Collaborators
American Society of Health-System Pharmacists
Responsible party
Sponsor
First posted
Oct 16, 2024
Start date
Nov 18, 2024
Primary completion
Aug 12, 2025
Completion
Sep 22, 2025
Last update
Nov 3, 2025

Study contacts

Ryan Larson, PharmD, CPP
principal investigator · Myers Park Internal Medicine

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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