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Type 2 Diabetes Mellitus: New Approaches to Optimize Medical Care in General Practice

Not Applicable
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
Other: Telephone counseling
Registration Number
NCT00742547
Lead Sponsor
German Cancer Research Center
Brief Summary

Patients with type-2 diabetes mellitus have an higher risk developing secondary disorders. In an epidemiological longitudinal study of about 1.150 patients with type 2 diabetes mellitus we investigate determinants and predictors for long-term prognosis. The patients are recruited and supervised in practices of general practitioners of the administrative district of Ludwigsburg/Heilbronn (Baden-Württemberg, Germany). In a subgroup of about 200 patients with a dissatisfactory metabolic status (HbA1c \> 7,5%) a randomised interventional study is performed. The intervention comprises a telephone counseling by the medical secretary of each practice executed in a predefined period of time. The outcome parameters of interest are the change of HbA1c, the development of secondary disorders and adverse events, quality of life and risk factor control, as well as hospitalization and mortality.

The aim of the study was to develop an patient-centred instrument implementable in the routine medical care in order to enhance the prognosis of patients with type-2 diabetes mellitus.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
204
Inclusion Criteria
  • Patient with type-2 diabetes mellitus attending the general practitioner's in the time from October to December 2008
  • Ability to take part in the study
Read More
Exclusion Criteria
  • Nursing home resident
  • Insufficient knowledge of the German language
  • Palliative health care with limited life expectancy
  • Emergency outpatient
  • All outpatients who attend the general practitioner by way of exception
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Telephone CounselingTelephone counselingTelephone counseling + usual care
Primary Outcome Measures
NameTimeMethod
HbA1c18 months
Secondary Outcome Measures
NameTimeMethod
CHD, mortality18 months
health-related quality of life18 months
lipid metabolism control18 months
risk factor control (eg. body weight, physical activity, smoking)18 months
hospitalization18 month
incidence of diabetes-related complications18 months

Trial Locations

Locations (37)

Bernd Leuchs, MD

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Leonberg, Baden-Württemberg, Germany

Jürgen Wollweber, MD

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Heilbronn, Baden-Württemberg, Germany

Volker Naser, MD

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Heilbronn, Baden-Württemberg, Germany

Ulrich Wagner, MD

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Ludwigsburg, Baden-Württemberg, Germany

Martin Heinrich, MD

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Ludwigsburg, Baden-Württemberg, Germany

Franz Lang, MD

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Marbach am Neckar, Baden-Württemberg, Germany

Alfred Preisner, MD

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Massenbachhausen, Baden-Württemberg, Germany

Hans-Jürgen Sommerer, MD

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Neckarsulm, Baden-Württemberg, Germany

Dietmar Kunz, MD

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Neckarsulm, Baden-Württemberg, Germany

Ulf-Michael Werner, MD

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Remshalden, Baden-Württemberg, Germany

Kurt Weber, MD

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Weissach, Baden-Württemberg, Germany

Dietmar Zinßer, MD

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Winnenden, Baden-Württemberg, Germany

Ullrich Barthelmes, MD

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Heilbronn, Baden-Württemberg, Germany

Andrea Walliser-Klöpfer, MD

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Benningen am Neckar, Baden-Württemberg, Germany

Hans Martin Schweizer, MD

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Korntal, Baden-Württemberg, Germany

Eberhard Rieker, MD

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Lauffen am Neckar, Baden-Württemberg, Germany

Nader Heydari, MD

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Fellbach, Baden-Württemberg, Germany

Adelheid Halttunen, MD

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Gemmingen, Baden-Württemberg, Germany

Hans-Joachim Essich, MD

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Heilbronn, Baden-Württemberg, Germany

Axel Möller, MD

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Heilbronn, Baden-Württemberg, Germany

Miroslaw Wyszynski, MD

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Heilbronn, Baden-Württemberg, Germany

Ildiko Tasic

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Vaihingen-Enz, Baden-Württemberg, Germany

Ulrich Hofmann, MD

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Ilsfeld-Auenstein, Baden-Württemberg, Germany

Monika Muhler, MD

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Loewenstein, Baden-Württemberg, Germany

Michael Spiel, MD

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Murr, Baden-Württemberg, Germany

Gerhard Günther, MD

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Leonberg, Baden-Württemberg, Germany

Thomas Baartz, MD

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Leonberg, Baden-Württemberg, Germany

Jürgen Wirth, MD

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Marbach am Neckar, Baden-Württemberg, Germany

Jürgen Herbers, MD

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Pleidelsheim, Baden-Württemberg, Germany

Frank Röder, MD

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Schwaikheim, Baden-Württemberg, Germany

Gisela Gramlich, MD

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Untergruppenbach, Baden-Württemberg, Germany

Hartmut Jungjohann, MD

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Neckarsulm, Baden-Württemberg, Germany

Sigmund Jakob

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Weinsberg, Baden-Württemberg, Germany

Odilo Schnabel, MD

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Zaberfeld, Baden-Württemberg, Germany

Karl Schütz, MD

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Weinsberg, Baden-Württemberg, Germany

Christoph Lücke, MD

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Beilstein, Baden-Württemberg, Germany

Andreas Wößner, MD

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Heilbronn, Baden-Württemberg, Germany

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