ClinicalTrials.gg
Not yet recruitingNCT07250698Updated Nov 26, 2025

Glucose Control in Type 2 Diabetes in Pregnancy

An interventional study of Exercise in Pregestational Diabetes and Type 2 Diabetes, sponsored by Eastern Virginia Medical School. Not yet recruiting at 1 site in United States. Open to female participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2025-11-26.

Sponsored by Eastern Virginia Medical School · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

The goal of this clinical trial is to evaluate the effect of physical activity on glucose control in pregnant patients with pregestational Type 2 diabetes. The main question it seeks to answer is "will physical activity following a meal improve blood sugar control in pregnant women with Type 2 diabetes?" Researchers will compare the glucose control of two groups: one that walks for 20 minutes after each meal, and one that does not.

02

Conditions studied

  • Pregestational Diabetes
  • Type 2 Diabetes

Keywords

  • exercise
  • continuous glucose monitoring
03

In context

Diabetes Mellitus, Type 2

10,371 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,406 are open to participants now.

This study's planned enrollment of 40 is below the median of 80 across 8,350 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

Eastern Virginia Medical School is the lead sponsor of 56 studies on the registry; 8 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 1 (11%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Singleton gestation
  • Known diagnosis of Type 2 diabetes OR meets new diagnosis of Type 2 diabetes in the first trimester (up to 13 weeks and 6 days)
  • Age ≥18 and \<50 years
  • Gestational age \<32 weeks 0 days gestation

Exclusion criteria

Exclusion Criteria:

  • Non-English as the primary language
  • Inability to participate in 20 minutes of walking at a time
  • Known or suspected fetal anomaly or aneuploidy
  • Prisoners
  • Management of diabetes outside of study location
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Active comparator
    Post-prandial walk

    Participants in this arm of the study will be instructed to walk for 20 minutes after each meal (breakfast, lunch, and dinner). They will also be given a continuous glucose monitor and a FitBit, to wear throughout their participation in the study.

    Behavioral: Exercise

  • No intervention
    Standard of Care

    Participants in this arm will be given the regular counseling on the importance of exercise during pregnancy, but not instructed to walk after each meal. They will receive a continuous glucose monitor and FitBit to wear throughout their participation in the study.

Interventions

  • BehavioralExercise

    This intervention consists of instructions to walk for 20 minutes after each meal.

06

What researchers measure

Primary outcomes

  1. Blood Glucose Time in Range

    Our primary outcome is the time in range (via CGM data) during the management of Type 2 diabetes in pregnancy between 34 and 36 weeks gestation.

    Time frame: Between 34 and 36 weeks gestation.

Secondary outcomes

  1. Duration of postprandial walk

    Duration of postprandial walk (in minutes)

    Time frame: From enrollment to delivery, an average of 6 months

  2. Sleep duration

    Amount of time spent sleeping

    Time frame: From enrollment to delivery, an average of 6 months

  3. Baseline heart rate

    Heart rate when not exercising

    Time frame: From enrollment to delivery, an average of 6 months

  4. Maximal heart rate during walks

    Maximal heart rate during postprandial walks

    Time frame: From enrollment to delivery, an average of 6 months

  5. Frequency of aerobic exercise per week

    Number of times a participant engages in aerobic exercise each week

    Time frame: From enrollment to delivery, an average of 6 months

  6. Mean glucose level

    Average blood sugar level

    Time frame: From enrollment to delivery, an average of 6 months

  7. Blood Glucose Excursions

    Changes in blood glucose

    Time frame: From enrollment to delivery, an average of 6 months

  8. Fasting blood sugar

    Blood sugar following a fast

    Time frame: From enrollment to delivery, an average of 6 months

  9. Total daily insulin dose

    The total amount of insulin administered to the participant daily

    Time frame: From enrollment to delivery, an average of 6 months

  10. Rates of fetal demise

    Whether fetal death occurs prior to delivery

    Time frame: From enrollment to delivery, an average of 6 months

  11. Rates of fetal growth restriction among participants

    When the fetus is considered small for gestational age at any point in pregnancy

    Time frame: From enrollment to delivery, an average of 6 months

  12. Rates of preeclampsia among participants

    Occurrence of preeclampsia during pregnancy

    Time frame: From enrollment to delivery, an average of 6 months

  13. Rates of placental abruption among participants

    Time frame: From enrollment to delivery, an average of 6 months

  14. Mode of delivery

    Cesarean or vaginal

    Time frame: From enrollment to delivery, an average of 6 months

  15. Number of participants with indication for cesarean delivery

    Time frame: From enrollment to delivery, an average of 6 months

  16. Presence of shoulder dystocia

    Vaginal deliveries

    Time frame: Duration of delivery, up to 72 hours

  17. Quantitative blood loss

    mL

    Time frame: From onset of labor to hospital discharge, up to 42 days post-delivery

  18. Postpartum hemorrhage

    Defined as quantitative blood loss \>1000 mL

    Time frame: From delivery to hospital discharge, up to 42 days post-delivery

  19. Occurrence of Infection

    Chorioamnionitis or postpartum endometritis prior to discharge

    Time frame: From delivery to hospital discharge, up to 42 days

  20. Neonatal birth weight

    Grams

    Time frame: From delivery to hospital discharge, up to 42 days

  21. APGAR Scores

    Scored from 0-10, with 10 being the best outcome

    Time frame: From delivery to hospital discharge, up to 1 year

  22. Incidence of Neonatal Infection

    Sepsis, fever, positive cultures, or a suspicious clinical course that warrants antibiotics treatment

    Time frame: From delivery to hospital discharge, up to 1 year

  23. Rates of respiratory distress syndrome amongst participant infants

    Time frame: From delivery to hospital discharge, up to 1 year

  24. Rates of necrotizing enterocolitis amongst participant infants

    Time frame: From delivery to hospital discharge, up to 1 year

  25. Rates Neonatal Intensive Care Unit admission amongst participant infants

    Time frame: From deliver to NICU admission, up to 1 year

  26. Days in the NICU

    Time frame: From NICU admission to NICU discharge, up to 1 year

  27. Hemoglobin A1c

    Blood Hemoglobin A1c level

    Time frame: At time of randomization, up to 32 weeks gestation

  28. Hemoglobin A1c

    Blood Hemoglobin A1c levels

    Time frame: Between 34 and 36 weeks gestation

  29. C-peptide

    Blood c-peptide levels

    Time frame: Collected at time of randomization, up to 32 weeks gestation

  30. C-peptide

    Blood c-peptide levels

    Time frame: Between 34 and 36 weeks gestation

  31. Insulin

    Blood insulin levels

    Time frame: At time of randomization, up to 32 weeks gestation

  32. Insulin

    Blood insulin level

    Time frame: Between 34 and 36 weeks gestation

  33. Leptin

    Blood leptin level

    Time frame: At time of randomization, up to 32 weeks gestation

  34. Leptin

    Blood leptin level

    Time frame: Between 34 and 36 weeks gestation

  35. Adipoleptin

    Blood adipoleptin

    Time frame: At time of randomization, up to 32 weeks gestation

  36. Adipoleptin

    Blood adipoleptin level

    Time frame: Between 34 and 36 weeks gestation

  37. Body fat mass

    Mass of body fat determined using bioelectrical impedance analysis

    Time frame: At time of randomization, up to 32 weeks gestation

  38. Body fat mass

    Mass of body fat determined using bioelectrical impedance analysis

    Time frame: Between 34 and 36 weeks gestation

  39. Body fat percentage

    Body fat percentage determined via bioelectrical impedance analysis

    Time frame: At time of randomization, up to 32 weeks gestation

  40. Body fat percentage

    Body fat percentage determined via bioelectrical impedance analysis

    Time frame: Between 34 and 36 weeks gestation

  41. Fat free mass

    Measure of body composition, determined by bioelectrical impedance analysis

    Time frame: Time of randomization, up to 32 weeks

  42. Fat free mass

    Measure of body composition, determined by bioelectrical impedance analysis

    Time frame: Between 34 and 36 weeks gestation

  43. Total body water

    Amount of water in the body, determined by bioelectrical impedance analysis

    Time frame: At time of randomization, up to 32 weeks gestation

  44. Total body water

    Amount of water in the body, determined by bioelectrical impedance analysis

    Time frame: Between 34 and 36 weeks gestation

07

Study locations

1 site
  • Eastern Virginia Medical School, Macon and Joan Brock Virginia Health Sciences at Old Dominion University
    Norfolk, Virginia 23507, United States
08

References and documents

Publications

  • American Diabetes Association. (2) Classification and diagnosis of diabetes. Diabetes Care. 2015 Jan;38 Suppl:S8-S16. doi: 10.2337/dc15-S005. No abstract available. PubMed 25537714 ↗
  • Colberg SR, Zarrabi L, Bennington L, Nakave A, Thomas Somma C, Swain DP, Sechrist SR. Postprandial walking is better for lowering the glycemic effect of dinner than pre-dinner exercise in type 2 diabetic individuals. J Am Med Dir Assoc. 2009 Jul;10(6):394-7. doi: 10.1016/j.jamda.2009.03.015. Epub 2009 May 21. PubMed 19560716 ↗
  • Christie HE, Chang CR, Jardine IR, Francois ME. Three short postmeal walks as an alternate therapy to continuous walking for women with gestational diabetes. Appl Physiol Nutr Metab. 2022 Oct 1;47(10):1031-1037. doi: 10.1139/apnm-2021-0619. Epub 2022 Aug 19. PubMed 35985050 ↗
  • Andersen MB, Fuglsang J, Ostenfeld EB, Poulsen CW, Daugaard M, Ovesen PG. Postprandial interval walking-effect on blood glucose in pregnant women with gestational diabetes. Am J Obstet Gynecol MFM. 2021 Nov;3(6):100440. doi: 10.1016/j.ajogmf.2021.100440. Epub 2021 Jun 30. PubMed 34216833 ↗
  • Jovanovic-Peterson L, Durak EP, Peterson CM. Randomized trial of diet versus diet plus cardiovascular conditioning on glucose levels in gestational diabetes. Am J Obstet Gynecol. 1989 Aug;161(2):415-9. doi: 10.1016/0002-9378(89)90534-6. PubMed 2764059 ↗
  • Garcia-Patterson A, Martin E, Ubeda J, Maria MA, de Leiva A, Corcoy R. Evaluation of light exercise in the treatment of gestational diabetes. Diabetes Care. 2001 Nov;24(11):2006-7. doi: 10.2337/diacare.24.11.2006. No abstract available. PubMed 11679479 ↗
  • Fishel Bartal M, Ashby Cornthwaite JA, Ghafir D, Ward C, Ortiz G, Louis A, Cornthwaite J, Chauhan SSP, Sibai BM. Time in Range and Pregnancy Outcomes in People with Diabetes Using Continuous Glucose Monitoring. Am J Perinatol. 2023 Apr;40(5):461-466. doi: 10.1055/a-1904-9279. Epub 2022 Jul 20. PubMed 35858653 ↗
  • American College of Obstetricians and Gynecologists' Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 201: Pregestational Diabetes Mellitus. Obstet Gynecol. 2018 Dec;132(6):e228-e248. doi: 10.1097/AOG.0000000000002960. PubMed 30461693 ↗
  • Gregory ECW, Ely DM. Trends and Characteristics in Prepregnancy Diabetes: United States, 2016-2021. Natl Vital Stat Rep. 2023 May;72(6):1-13. PubMed 37256333 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07250698
Lead sponsor
Eastern Virginia Medical School
Responsible party
Marwan Ma'ayeh (Assistant Professor, Eastern Virginia Medical School) — Principal investigator
First posted
Nov 26, 2025
Start date
Dec 2025 (estimated)
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Nov 26, 2025

Study contacts

Marwan Ma'ayeh, MD
Contact
MaayehMG@odu.edu
757-446-7900

Oversight

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

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This study is not yet recruiting, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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