RECRUITING Not applicable ClinicalTrials.gov

C-Carbs: A CGM-guided Approach to Teaching Carb Awareness

Sponsor: University of California, Los Angeles • ClinicalTrials.gov ID: NCT07807280

Registry updated: 2026-09-08

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Description

The goal of this randomized study is to learn whether a CGM-guided insulin dosing education program can help adults with diabetes improve how they dose mealtime insulin. The main question it aims to answer is: 1\. Does CGM-guided insulin dosing education improve insulin dosing behaviors and glycemic outcomes in adults with diabetes who do not routinely use carbohydrate counting? Participants will be randomly assigned to either the C-CARBS intervention or usual care. Participants will complete study visits, questionnaires, and meal and insulin logs, and CGM data will be collected to evaluate changes in insulin dosing behaviors and glycemic outcomes.

Interventions

C-Carbs Program (Behavioral)
The C-CARBS intervention is a patient-facing diabetes education program consisting of four weekly, one-hour sessions with a diabetes educator. The program teaches participants how to use continuous glucose monitoring (CGM) information, including current glucose levels and glucose trends, to guide mealtime insulin dosing. The intervention is designed to provide practical strategies for insulin dosing without relying solely on traditional carbohydrate counting. Participants will also practice applying CGM information to real-world meals and insulin dosing decisions.

Eligibility criteria

Inclusion Criteria: * Adults 18 years of age or older. * Diagnosis of diabetes for at least 1 year. * Currently using or willing to start using a continuous glucose monitor (CGM). * Currently using multiple daily insulin injections (MDI). * HbA1c ≥8% at screening/baseline. * Does not routinely use carbohydrate counting or demonstrates poor/inconsistent carbohydrate counting for mealtime insulin dosing. * Able and willing to participate in the study visits and intervention sessions. * Able to provide informed consent. Exclusion Criteria: * Use of an insulin pump or automated insulin delivery system. * Significant medical, cognitive, or psychiatric condition that, in the investigator's judgment, would interfere with participation or completion of study procedures. Limited life expectancy that would prevent completion of the study. * Pregnancy or plans to become pregnant during the study period. * Current participation in another interventional study that could affect diabetes management or study outcomes. * Inability/unwillingess to independently use a CGM device or administer insulin. * Any other condition that, in the investigator's judgment, would make participation inappropriate or interfere with the study's objectives.

Conditions

Type 1 Diabetes

Locations

University of California Los Angeles — Los Angeles, California, United States

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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

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