NCT05756829Recruiting
Type 1 Diabetes Virtual Self-management Education and Support
Source: ClinicalTrials.gov · Last updated 21 Apr 2026
Brief summary (registry, in English)
OVERVIEW: People living with type 1 diabetes (T1D) are expected to fit self-management and regular clinical consultations into busy lives. T1D self-management programs that offer frequent contact with care teams are most effective in helping patients achieve optimal glycemic control. However, this is difficult to deliver in the context of current T1D care which involves time-consuming in-person visits during working hours. The proposed study will test a virtual health care intervention to deliver "high frequency, low touch" care aimed at improving metabolic control, while reducing the burden on individuals and their healthcare teams. STUDY DESIGN: A pragmatic multicenter, open-label, randomized trial to evaluate the short-term effectiveness of a multifaceted virtual health care intervention in improving glycemic control in individuals with T1D. Planned recruitment is 580 participants from 10 specialized T1D centres in Ontario. INTERVENTION: Our intervention will include 1) frequent, brief virtual visits between patients with T1D and certified diabetes educators (conducted in real time using a secure telemedicine video interface accessible from any PC, tablet or smart phone) combined with automatic appointment reminders, and 2) a centralized web-based platform to provide educational classes, tools, and resources for diabetes self-management. Virtual visits will be an adjunct to routine in-clinic visits for blood pressure monitoring, foot checks, and surveillance for other complications of diabetes. This approach aims to enable patients to receive more education and support than is feasible in traditional health care models, and in a way that is more seamless (i.e. results in fewer disruptions to their daily life) and tailored to their individual needs based on their stage in life.
- Status (registry)
- Recruiting
- Study type
- Interventional
- Enrollment
- 580 (estimated)
- First submitted
- 9 Feb 2023
- Start date
- 10 May 2023
- Primary completion date
- 31 Dec 2026
- Lead sponsor
- Unity Health Toronto
- Diseases
- Type 1 diabetes
- NCT number
- NCT05756829
What you commit to
- Study type: Interventional
- Planned participants: 580
- From 10 May 2023 to the primary completion date, 31 Dec 2026
- 9 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Other illness
- Diagnosed with non-Type 1 diabetes
Other
- Unable to use a computer/tablet or mobile phone
- Pregnant
- On dialysis
- Unable to fluently speak or read English (self-reported)
Who the study is looking for
- Outpatients ≥18 years of age
- Physician diagnosis of type 1 diabetes
- Currently on an insulin pump or using multiple daily insulin injections.
- HbA1c ≥ 7.5% on most recent laboratory report or estimated from CGM/FGM\* report, within the last 4 months
- \*14 day look back window, with a wear rate of 70%, based on Estimated A1c or Glucose management Indicator (GMI)
- Has access to a mobile device or computer/tablet with a video camera
- Seen for at least one visit in the previous 6 months by participating certified diabetes educator at the selected diabetes clinic OR If a transitioning patient: Currently enrolled in a diabetes program below AND had at least one visit or touch-point prior in the previous 6 months by participating certified diabetes educator at on of our participating diabetes clinics
- OHIP coverage
- Currently using an active email address or be willing to obtain an email address
- Has consistent and reliable access to internet
- Willing and able to comply with scheduled in-person and virtual visits for 6 month intervention period
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (9)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Waterloo Regional Health Network Coordinator of this site? Confirm its status | Kitchener | Canada | Recruiting |
| Mackenzie Health Coordinator of this site? Confirm its status | Richmond Hill | Canada | Recruiting |
| Mount Sinai Hospital Coordinator of this site? Confirm its status | Toronto | Canada | Recruiting |
| Women's College Hospital Coordinator of this site? Confirm its status | Toronto | Canada | Not yet recruiting |
| St. Michael's Hospital, Unity Health Toronto Coordinator of this site? Confirm its status | Toronto | Canada | Recruiting |
| Sunnybrook Health Sciences Centre Coordinator of this site? Confirm its status | Toronto | Canada | Recruiting |
| Toronto General Hospital Coordinator of this site? Confirm its status | Toronto | Canada | Recruiting |
| St. Joseph's Health Centre, Unity Health Toronto Coordinator of this site? Confirm its status | Toronto | Canada | Recruiting |
| Charles H. Best Diabetes Centre Coordinator of this site? Confirm its status | Whitby | Canada | Recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.