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A Glucose Sensor-Guided Program to Teach Carb Awareness in Type 1 Diabetes

Tests a sensor-guided insulin dosing program in adults with type 1 diabetes.

Plain-language title generated from the registry record
Registry title: C-Carbs: A CGM-guided Approach to Teaching Carb Awareness

Key facts

Where
Los Angeles, United StatesSee the site

Where in United States

  • University of California, Los AngelesLos Angeles, United StatesTaking people

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Trial details

Who runs it
University of California, Los Angeles
Trial code
NCT07807280
Record updated
4 November 2026
Original 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:Read full original descriptionShow less

A Novel Approach to Teaching Carb Awareness to Vulnerable Patients With Type 1 Diabetes

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.

Inclusion: 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: 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; Current participation in another interventional study that could affect diabetes management or study outcomes; Any other condition that, in the investigator's judgment, would make participation inappropriate or interfere with the study's objectives; Use of an insulin pump or automated insulin delivery system; Pregnancy or plans to become pregnant during the study period; Inability/unwillingess to independently use a CGM device or administer insulin.

ClinicalTrials.gov NCT07807280