ClinicalTrials.gg
RecruitingNCT07529366Updated Oct 7, 2026

Pharmacist-Led Continuous Glucose Monitoring for Prediabetes

An observational study in Prediabetes, sponsored by University of South Florida. Recruiting at 2 sites in United States. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-10-07.

Sponsored by University of South Florida · Observational

From the registry’s dates

  • Started Oct 2026; still recruiting 1 month later.
Updated Oct 7, 2026Start date movedGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
40
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The goal of this observational study is to determine if a pharmacist-led program involving continuous glucose monitoring (CGM) improves glucose control and health behavior in people with prediabetes. The main questions it aims to answer are:

  1. Determine impact of pharmacist-led CGM on glycemic control in people with prediabetes. Researchers will compare change in hemoglobin A1c at 12 weeks with pharmacist-led CGM versus a historical cohort of subjects with prediabetes receiving no CGM. The investigators will also assess change in CGM-derived glycemic metrics from baseline to end of the CGM wear period in the intervention group.
  2. Evaluate impact of pharmacist-led CGM on health behavior change in people with prediabetes in the intervention group. Participants will be asked to complete the Summary of Diabetes Self-Care Activities Measure (SDSCA) and 36-Item Short Form Health Survey (SF-36) at baseline, at the end of week 4, and at the end of the study so that researchers can measure the effects in the intervention group on health behavior change.
02

Conditions studied

  • Prediabetes

Keywords

  • prediabetes
  • continuous glucose monitoring
  • pharmacist
  • health behavior
  • Hemoglobin A1c
  • endocrinology
  • primary care
  • CGM
03

In context

Prediabetic State

918 studies on the registry are indexed under Prediabetic State; 232 are open to participants now.

This study's planned enrollment of 40 is below the median of 224 across 129 observational studies indexed under Prediabetic State.

Browse Prediabetic State studies →

Lead sponsor

University of South Florida is the lead sponsor of 340 studies on the registry; 65 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 4 (24%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

adults 18-70 years of age with prediabetes (HbA1c 5.7-6.4%)

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

  • adults 18-70 years of age
  • prediabetes ( 5.7-6.4%)
  • compatible smartphone with the Dexcom Stelo sensor system
  • have not have worn a CGM in the last 6 months prior to enrollment

Exclusion criteria

Exclusion Criteria:

  • any of the following forms of diabetes: type 1 diabetes, type 2 diabetes, monogenic diabetes, cystic fibrosis-related diabetes, post- transplant diabetes, latent diabetes
  • problematic hypoglycemia in the prior 6 months [defined as recurrent (more than one) level 2 hypoglycemic events (glucose \<54mg/dL ) that persist despite multiple attempts to adjust medication(s) and/or modify the diabetes/treatment plan or a history of one level 3 hypoglycemic event (glucose \<54mg/dL) characterized by altered mental and/or physical state requiring third-party assistance for treatment of hypoglycemia]
  • pregnant, or planning to become pregnant during the study time frame
  • currently receiving or planned to receive dialysis during the study time frame - current use of systemic for any condition
  • a known allergy to medical grade adhesives,
  • use of any CGM device in the past 6 months
  • history of a diagnosed eating disorder
  • current use of a second-generation antipsychotic at the time of consent (aripiprazole, asenapine, brexpiprazole, cariprazine, clozapine, iloperidone, lurasidone, olanzapine, paliperidone, quetiapine, risperidone, ziprasidone)
  • subjects lacking capacity to provide
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
40 participants (estimated)
Patient registry
No

Groups and cohorts

  • CGM Cohort (Intervention)

    Subjects meeting inclusion criteria will include adults 18-70 years of age with prediabetes (HbA1c 5.7-6.4%) obtained within the six months preceding enrollment. Subjects must have a compatible smartphone with the Dexcom CGM sensor system. Subjects must not have worn a CGM in the last 6 months to be eligible.

    Device: Dexcom Stelo CGM

  • No CGM Cohort (Retrospective Cohort)

    A retrospective chart review will be performed on patients seen at the USF Health Department of Family Medicine between 1/1/2025-03/20/2026. Subjects in this group will include adults 18-70 years of age with prediabetes (HbA1c 5.7-6.4%). Subjects in this cohort will have not received CGM.

Interventions

  • DeviceDexcom Stelo CGM

    Subjects included in the intervention group will be recruited from the USF Health Department of Family Medicine. Each subject will be enrolled for 12 weeks. The CGM sensors are worn on the upper arm and changed every 15 days.

06

What researchers measure

Primary outcomes

  1. Change in hemoglobin A1c

    Between-group difference in change in hemoglobin A1c at 12 weeks, %, compared between intervention and historical cohort

    Time frame: Baseline to End of Study (12 weeks)

Secondary outcomes

  1. Time in Range

    Change in the time in range (70-140 mg/dL) at 4 weeks, %, compared within the intervention cohort

    Time frame: Baseline to End of Week 4 (CGM wear period)

  2. Time in Euglycemic Range

    Change in the time in euglycemic range (54-120 mg/dL) at 4 weeks, %, compared within the intervention cohort

    Time frame: Baseline to End of Week 4 (CGM wear period)

  3. Mean Sensor Glucose

    Change in mean sensor glucose concentration at 4 weeks, mg/dL, compared within the intervention cohort

    Time frame: Baseline to End of Week 4 (CGM wear period)

  4. Time Below Range

    Change in time below range (\< 70 mg/dL) at 4 weeks, %, compared within the intervention cohort

    Time frame: Baseline to End of Week 4 (CGM wear period)

  5. Time Above Range

    Change in time above range (141-250 mg/dL and \> 250 mg/dL) at 4 weeks, %, compared within the intervention cohort

    Time frame: Baseline to End of Week 4 (CGM wear period)

  6. Glycemic Variability

    Change in glycemic variability (standard deviation, and Coefficient of variance) at 4 weeks, compared within the intervention cohort

    Time frame: Baseline to End of Week 4 (CGM wear period)

  7. Time in Range Increase 5%

    Change in the number of subjects increasing 5% or more in time in range (70-140 mg/dL) at 4 weeks, compared within the intervention cohort

    Time frame: Baseline to End of Week 4 (CGM wear period)

  8. Time in Range Increase 10%

    Change in the number of subjects increasing 10% or more in time in range (70-140 mg/dL) at 4 weeks, compared within the intervention cohort

    Time frame: Baseline to End of Week 4 (CGM wear period)

  9. Time in Euglycemic Range Increase 5%

    Change in the number of subjects increasing 5% or more in time in euglycemic range (54-120 mg/dL) at 4 weeks, compared within the intervention cohort

    Time frame: Baseline to End of Week 4 (CGM wear period)

  10. Time in Euglycemic Range Increase 10%

    Change in the number of subjects increasing 10% or more in time in euglycemic range (54-120 mg/dL) at 4 weeks, compared within the intervention cohort

    Time frame: Baseline to End of Week 4 (CGM wear period)

  11. >70% Time in Range

    Change in the number of subjects achieving \> 70% time in range (70-140 mg/dL) at 4 weeks, compared within the intervention cohort

    Time frame: Baseline to End of Week 4 (CGM wear period)

  12. >70% Time in Euglycemic Range

    Change in the number of subjects achieving \> 70% time in euglycemic range (54-120 mg/dL) at 4 weeks, compared within the intervention cohort

    Time frame: Baseline to End of Week 4 (CGM wear period)

  13. Summary of Diabetes Self-Care Activities Measure (SDSCA)

    Change in the Summary of Diabetes Self-Care Activities Measure at 12 weeks, compared within the intervention group. Scored on an 8-point likert scale (0-7). Higher scores indicate better compliance with diabetes self-care, whereas a lower score indicate poor self-care performance.

    Time frame: Baseline to End of Study (12 weeks)

  14. Summary of Diabetes Self-Care Activities Measure (SDSCA)

    Change in the Summary of Diabetes Self-Care Activities Measure at 4 weeks, compared within the intervention group. Scored on an 8-point likert scale (0-7). Higher scores indicate better compliance with diabetes self-care, whereas a lower score indicate poor self-care performance.

    Time frame: Baseline to End of Week 4 (CGM wear period)

  15. 36-Item Short Form Health Survey (SF-36)

    Change in the 36-Item Short Form Health Survey (SF-36) Measure at 12 weeks, compared within the intervention group. Produces 8 domain scores and is scored on a 0 to 100 scale. For the standard domain scores, higher scores indicate a more favorable health state. A score of 100 reflects the best health status on that domain, and 0 the worst.

    Time frame: Baseline to End of Study (12 weeks)

  16. 36-Item Short Form Health Survey (SF-36)

    Change in the 36-Item Short Form Health Survey (SF-36) Measure at 12 weeks, compared within the intervention group. Produces 8 domain scores and is scored on a 0 to 100 scale. For the standard domain scores, higher scores indicate a more favorable health state. A score of 100 reflects the best health status on that domain, and 0 the worst.

    Time frame: Baseline to End of Week 4 (CGM wear period)

07

Study locations

2 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2026 (actual). Primary completion is estimated for Jul 2027, 9 months after the start.

Of 48 observational studies under Prediabetic State, half reached primary completion within 69 months of starting (the median), counting those still running; a quarter within 24. This study's planned 9 months is below that.

Start moved once since we started tracking on Sep 25, 2026: Sep 2026 → Oct 2026, on Oct 7, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Apr 7, 2026
First posted
Apr 14, 2026
StartActual
Oct 6, 2026was Sep 2026
Primary completionEst.
Jul 31, 2027
CompletionEst.
Jul 31, 2027
Last update
Oct 7, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Start date
Sep 1, 2026→Oct 6, 2026 (actual)
Oct 7, 2026
Show all 1 update
  1. Oct 7, 2026
    Start date Sep 1, 2026→Oct 6, 2026 (now actual)

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07529366
Responsible party
Kevin Cowart (Associate Professor, University of South Florida) — Principal investigator
First posted
Apr 14, 2026
Start date
Oct 6, 2026
Primary completion
Jul 31, 2027 (estimated)
Completion
Jul 31, 2027 (estimated)
Last update
Oct 7, 2026

Study contacts

Kevin Cowart, PharmD, MPH
Contact
kcowart2@usf.edu
813-974-5562
Raechel White, PharmD
Contact
rtwhite@usf.edu
813-974-1124
Kevin Cowart, PharmD, MPH
principal investigator · University of South Florida

Oversight

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

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