Type 2 DiabetesNCT06572306
Pharmacist-led Continuous Glucose Monitoring
An observational study of Type 2 Diabetes, run by University of South Florida at 1 site in United States.
Trial summary
This is a pilot study. The goal of this prospective cohort study is to determine impact of pharmacist-led continuous glucose monitoring on glycemic control and health behavior change in people with type 2 diabetes. The main questions it aims to answer are: 1. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 2 Diabetes
- What is being tested?
- FreeStyle Libre 2/Libre 3+ Continuous Glucose Monitor
- Type of treatment
- Medical device
- How many people
- 11 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Sep 2024to 1 Sep 2026
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: type 2 diabetes with hemoglobin A1c ≥ 8%
Who may be able to join
- type 2 diabetes
- hemoglobin A1c ≥ 8%
- compatible smartphone with FreeStyle Libre 2 or Libre 3+ continuous glucose monitoring system
- current use and access to a glucometer for self-monitoring of blood glucose
Who cannot join
- any continuous glucose monitor use within 6 months prior to study enrollment
- pregnant and planning to become pregnant during study time frame
- history of hypoglycemia requiring third party assistance
- history of diabetic ketoacidosis or hyperosmolar hyperglycemic state within 6 months prior to study enrollment
- known allergy to medical grade adhesives
- current use of systemic steroids for any medical condition
- current use of dialysis
Trial locations and contacts
1 site in 1 country.
United States1 site
USF Health Department of Family Medicine
Tampa, Florida, 33612
About this study
Official title: Investigating the Impact of Pharmacist-led Flash Continuous Glucose Monitoring on Clinical and Behavioral Health Outcomes
This is a pilot study. The goal of this prospective cohort study is to determine impact of pharmacist-led continuous glucose monitoring on glycemic control and health behavior change in people with type 2 diabetes. The main questions it aims to answer are:
- to assess change in hemoglobin A1c in people with type 2 diabetes using continuous glucose monitoring under a pharmacist-led approach as compared to a pharmacist-led approach utilizing no continuous glucose monitoring (only self-monitoring blood glucose with a glucometer).
- to assess change in continuous glucose monitoring-derived glycemic outcomes among the pharmacist-led continuous glucose monitoring cohort (intervention group)
- to assess change in health behavior among the pharmacist-led continuous glucose monitoring cohort (intervention group)
- Conditions
- Type 2 Diabetes
- Being tested
- FreeStyle Libre 2/Libre 3+ Continuous Glucose Monitor
- Keywords
- type 2 diabetes, endocrine disorders, continuous glucose monitor, pharmacist
- Medical subject headings
- Diabetes Mellitus, Type 2, Endocrine System Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FreeStyle Libre 2/Libre 3+ Continuous Glucose MonitorDevice
Subjects included in the intervention group (continuous glucose monitoring) will be recruited from the USF Health Department of Family Medicine. Each subject will be enrolled for 12 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Continuous glucose monitoring cohort (intervention) | Freestyle libre 2 or 3+ sensor devices will be used to monitor glucose. The sensors are worn on the upper arm and changed every 14 (libre 2) or 15 (libre 3+) days. Each subject will have 5 visits with a pharmacist over 12 weeks. Subjects meeting inclusion criteria will include adults ≥18 years of age with type 2 diabetes and a hemoglobin A1c ≥ 8%. Subjects must have a compatible smartphone with the freestyle libre 2 sensor system. Subjects must have access to a glucometer to check blood glucose. Subjects must not have worn a continuous glucose monitor in the last 6 months to be eligible. Receives: Device: FreeStyle Libre 2/Libre 3+ Continuous Glucose Monitor | |
| Self-monitoring of blood glucose cohort (historical cohort) | A retrospective chart review will be performed on patients seen by a clinic pharmacist between 1/1/2020-7/1/2024. Subjects in this group will include adults ≥18 years of age with type 2 diabetes and a hemoglobin A1c ≥ 8% and using a glucometer to monitor blood sugar. Exclusion criteria will be use of any continuous glucose monitoring device within the prior 6 months of the index date (defined as first visit with a pharmacist during study time frame). |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in hemoglobin A1c
Between-group difference in change in hemoglobin A1c at 12 weeks, %, compared between intervention and historical cohort
Measured: Baseline to End of Study (12 weeks)
Secondary outcomes (12)
Time in Range
Change in the time in range (70-180 mg/dL) at 12 weeks, %, compared within the intervention cohort
Measured: Baseline to End of Study (12 weeks)
Mean Sensor Glucose
Change in mean sensor glucose concentration at 12 weeks, mg/dL, compared within the intervention cohort
Measured: Baseline to End of Study (12 weeks)
Time Below Range
Change in time below range (< 54mg/dL and < 70 mg/dL) at 12 weeks, %, compared within the intervention cohort
Measured: Baseline to End of Study (12 weeks)
Time Above Range
Change in time above range (> 180 mg/dL and > 250 mg/dL) at 12 weeks, %, compared within the intervention cohort
Measured: Baseline to End of Study (12 weeks)
Glycemic Variability
Change in glycemic variability (standard deviation, and Coefficient of variance) at 12 weeks, compared within the intervention cohort
Measured: Baseline to End of Study (12 weeks)
Time in Range Increase 5%
Change in the number of subjects increasing 5% or more in time in range (70-180 mg/dL) at 12 weeks, compared within the intervention cohort
Measured: Baseline to End of Study (12 weeks)
Time in Range Increase 10%
Change in the number of subjects increasing 10% or more in time in range (70-180 mg/dL) at 12 weeks, compared within the intervention cohort
Measured: Baseline to End of Study (12 weeks)
>70% Time in Range
Change in the number of subjects achieving > 70% time in range (70-180 mg/dL) at 12 weeks, compared within the intervention cohort
Measured: Baseline to End of Study (12 weeks)
Hemoglobin A1c <7%
Change in the number of subjects achieving hemoglobin A1c < 7% at 12 weeks compared between intervention and historical cohort
Measured: Baseline to End of Study (12 weeks)
Hemoglobin A1c <8%
Change in the number of subjects achieving hemoglobin A1c < 8% at 12 weeks compared between intervention and historical cohort
Measured: Baseline to End of Study (12 weeks)
Summary of Diabetes Self-Care Activities Measure
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.
Measured: Baseline to End of Study (12 weeks)
Continuous Glucose Monitoring Survey Responses
Change in survey responses at 12 weeks, compared within the intervention group
Measured: Baseline to End of Study (12 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Aug 2024
- Study start1 Sep 2024
- Primary completion1 Sep 2026
- Study completion1 Sep 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Type 2 DiabetesStudies of the same condition, open and under way.
- More trials run by University of South FloridaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 11 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of South Florida
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Kevin Cowart, University of South Florida
- Investigators
- Kevin Cowart, PharmD, MPH, Principal investigator, University of South Florida
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06572306
- Sponsor's protocol ID
- STUDY007451
- Status last verified
- Sep 2026
- First submitted
- 23 Aug 2024
- Last updated
- 15 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Publications
Cowart K, White RT, Olson K, Carris NW, Hanna K, Zgibor J. Impact of Pharmacist-Led Continuous Glucose Monitoring on Clinical Outcomes in People With Type 2 Diabetes in Primary Care: Protocol for a Prospective Cohort Study. JMIR Res Protoc. 2025 May 23;14:e67014. doi: 10.2196/67014.
PubMed 40409747
Study at a glance
From the registry record, last updated by the sponsor on 15 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigating the Impact of Pharmacist-led Flash Continuous Glucose Monitoring on Clinical and Behavioral Health Outcomes
- ClinicalTrials.gov ID
- NCT06572306
- Acronym / sponsor ID
- STUDY007451
- Conditions
- Type 2 Diabetes
- Keywords
- type 2 diabetes, endocrine disorders, continuous glucose monitor, pharmacist
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 11 participants (actual)
- Lead sponsor
- University of South FloridaUniversity, hospital or other
- Study start
- 1 Sep 2024 (actual)
- Primary completion
- 1 Sep 2026 (actual)
- Study completion
- 1 Sep 2026 (actual)
- First posted
- 27 Aug 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a pilot study. The goal of this prospective cohort study is to determine impact of pharmacist-led continuous glucose monitoring on glycemic control and health behavior change in people with type 2 diabetes. The main questions it aims to answer are:
- to assess change in hemoglobin A1c in people with type 2 diabetes using continuous glucose monitoring under a pharmacist-led approach as compared to a pharmacist-led approach utilizing no continuous glucose monitoring (only self-monitoring blood glucose with a glucometer).
- to assess change in continuous glucose monitoring-derived glycemic outcomes among the pharmacist-led continuous glucose monitoring cohort (intervention group)
- to assess change in health behavior among the pharmacist-led continuous glucose monitoring cohort (intervention group)
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Continuous glucose monitoring cohort (intervention) | – | Device: FreeStyle Libre 2/Libre 3+ Continuous Glucose MonitorFreestyle libre 2 or 3+ sensor devices will be used to monitor glucose. The sensors are worn on the upper arm and changed every 14 (libre 2) or 15 (libre 3+) days. Each subject will have 5 visits with a pharmacist over 12 weeks. Subjects meeting inclusion criteria will include adults ≥18 years of age with type 2 diabetes and a hemoglobin A1c ≥ 8%. Subjects must have a compatible smartphone with the freestyle libre 2 sensor system. Subjects must have access to a glucometer to check blood glucose. Subjects must not have worn a continuous glucose monitor in the last 6 months to be eligible. |
| Self-monitoring of blood glucose cohort (historical cohort) | – | –A retrospective chart review will be performed on patients seen by a clinic pharmacist between 1/1/2020-7/1/2024. Subjects in this group will include adults ≥18 years of age with type 2 diabetes and a hemoglobin A1c ≥ 8% and using a glucometer to monitor blood sugar. Exclusion criteria will be use of any continuous glucose monitoring device within the prior 6 months of the index date (defined as first visit with a pharmacist during study time frame). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- type 2 diabetes with hemoglobin A1c ≥ 8%
Key inclusion criteria (4 listed)
- type 2 diabetes
- hemoglobin A1c ≥ 8%
- compatible smartphone with FreeStyle Libre 2 or Libre 3+ continuous glucose monitoring system
- current use and access to a glucometer for self-monitoring of blood glucose
Key exclusion criteria (7 listed)
- any continuous glucose monitor use within 6 months prior to study enrollment
- pregnant and planning to become pregnant during study time frame
- history of hypoglycemia requiring third party assistance
- history of diabetic ketoacidosis or hyperosmolar hyperglycemic state within 6 months prior to study enrollment
- known allergy to medical grade adhesives
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| FreeStyle Libre 2/Libre 3+ Continuous Glucose MonitorSubjects included in the intervention group (continuous glucose monitoring) will be recruited from the USF Health Department of Family Medicine. Each subject will be enrolled for 12 weeks. | Device | Continuous glucose monitoring cohort (intervention) |
Primary outcome
Change in hemoglobin A1c
Time frame: Baseline to End of Study (12 weeks)
Between-group difference in change in hemoglobin A1c at 12 weeks, %, compared between intervention and historical cohort
12 secondary outcomes
Time in Range
Time frame: Baseline to End of Study (12 weeks)
Mean Sensor Glucose
Time frame: Baseline to End of Study (12 weeks)
Time Below Range
Time frame: Baseline to End of Study (12 weeks)
Time Above Range
Time frame: Baseline to End of Study (12 weeks)
Glycemic Variability
Time frame: Baseline to End of Study (12 weeks)
Time in Range Increase 5%
Time frame: Baseline to End of Study (12 weeks)
Time in Range Increase 10%
Time frame: Baseline to End of Study (12 weeks)
>70% Time in Range
Time frame: Baseline to End of Study (12 weeks)
Hemoglobin A1c <7%
Time frame: Baseline to End of Study (12 weeks)
Hemoglobin A1c <8%
Time frame: Baseline to End of Study (12 weeks)
Summary of Diabetes Self-Care Activities Measure
Time frame: Baseline to End of Study (12 weeks)
Continuous Glucose Monitoring Survey Responses
Time frame: Baseline to End of Study (12 weeks)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Sep 2026.
- Derived from this study: PubMed 40409747Cowart K, White RT, Olson K, Carris NW, Hanna K, Zgibor J. Impact of Pharmacist-Led Continuous Glucose Monitoring on Clinical Outcomes in People With Type 2 Diabetes in Primary Care: Protocol for a Prospective Cohort Study. JMIR Res Protoc. 2025 May 23;14:e67014. doi: 10.2196/67014.
- Individual participant dataSharing planned: No
Related trials for Type 2 Diabetes
Not yet recruitingPhase 3
Efficacy and Safety of Once-Weekly SHR-3167 Compared With Once-Daily Insulin Glargine in Adults With Insulin-Naive Type 2 Diabetes
Type 2 Diabetes
Active, not recruiting
Digital Reinforcement of Motivational Interviewing Micro-Skills Among Primary Care Healthcare Professionals
Hypertension (Without Type 2 Diabetes Mellitus)
Recruiting
Investigating Vascular Properties of HEMI and SPG Signals in Individuals With or at Risk for Chronic Kidney Disease
Chronic Kidney Disease, Hypertension (HTN)
Not yet recruitingPhase 3
A Study to Evaluate the Effectiveness and Safety of the Drug AZD6234 for Managing Weight in Adults Who Are Obese or Overweight. These Participants May or May Not Also Have Type 2 Diabetes
Obesity, Overweight
Not yet recruiting
Impact of Endoscopic Sleeve Gastroplasty (ESG) in Obese Adults With Type 2 Diabetes (T2D)
Type 2 Diabetes Mellitus (T2D), Obesity (BMI>30)
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Kevin Cowart, PharmD, MPH principal investigator
University of South Florida
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Type 2 Diabetes, run by University of South Florida at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in hemoglobin A1c (time frame: Baseline to End of Study (12 weeks)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06572306, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Sep 2026.