Diabetes Mellitus, Type 2 Clinical Trial
Official title:
The Synergy to Control Emergency Department Hyperglycemia Program for Type 2 Diabetes: STEP-Diabetes.
A 4 week prospective, randomized controlled study was carried out to assess the impact of a care delivery intervention which focused on blood glucose (BG) management among adults with type 2 diabetes presenting to the Emergency Department (ED) with BG >/= 200mg/dL (11.1 mmol/L). The intervention was designed by a multi-disciplinary team of ED physicians and nurses, endocrinologists and diabetes educators. The intervention incorporated three components: a guideline-based algorithm for diabetes medication management survival skills diabetes self-management education (DSME); and support for health system navigation. The control group received usual care per the ED's policies and procedures for management of high blood glucose.
We evaluated a concise diabetes care delivery intervention designed to advance glycemic
medications and deliver diabetes self-management education (DSME) among adults with type 2
diabetes presenting to the emergency department (ED) with uncontrolled hyperglycemia. The
primary hypothesis was that there would be improvement in HbA1c.
A 4 week, randomized controlled trial provided algorithm-based antihyperglycemic medications
management, survival skills DSME and navigation to primary care for ED patients with
BG>200mg/dL. Medications were titrated and DSME delivered by endocrinologist-supervised
certified diabetes educators. Controls received usual care.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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