Protein drinks during labor to help blood sugar stay steadier for pregnant people with insulin-treated diabetes

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This pilot randomized trial compares high-protein oral beverages to a standard clear liquid diet during labor in people with insulin-treated gestational diabetes or pre-existing type 2 diabetes. Participants will wear a CGM from the start of labor until about one hour after delivery to assess glucose stability, including time above target range. Feasibility and acceptability of a CGM-guided intrapartum nutrition protocol will also be evaluated. Neonatal outcomes, such as incidence of neonatal hypoglycemia, will be explored. The intervention uses a commercially available high-protein drink alongside continuous glucose monitoring to characterize intrapartum glycemic patterns.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age ≥18 years
* Singleton pregnancy
* Gestational age ≥37 0/7 weeks at time of induction
* Diagnosis of gestational diabetes requiring insulin therapy (GDM A2) or pre-existing Type 2 diabetes managed with insulin during pregnancy
* Admission to labor and delivery for induction of labor
* Able and willing to provide informed consent

Exclusion Criteria:

* Type 1 diabetes mellitus
* Multifetal gestation
* Major fetal anomalies or conditions affecting neonatal glucose regulation
* Stillbirth
* Planned cesarean delivery
* Inability to provide consent
* Contraindication to oral intake (e.g., NPO status for clinical indication)
* Known allergy or intolerance to study materials, including components of the high-protein supplement or CGM device

Where it's running

• Froedtert Hospital
  Milwaukee, Wisconsin, United States Recruiting

Study contacts

• Study coordinator: Sukanya Skandarajah
• Email: sskandarajah@mcw.edu
• Phone: 4148055337

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.