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Preventing cardiovascular and renal complications in patients with type 2 diabetes and microalbuminuria: the GP-Prompt study

Not Applicable
Completed
Conditions
The intervention being tested is aimed at general practitioners and practice nurses. The intervention will support practices in managing patients with type 2 diabetes and microalbuminuria.
Not Applicable
Registration Number
ISRCTN14918517
Lead Sponsor
niversity of Leicester
Brief Summary

2018 protocol and baseline characteristics in https://www.ncbi.nlm.nih.gov/pubmed/29884609 2020 results in https://pubmed.ncbi.nlm.nih.gov/32430457/ (added 04/03/2021)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
24
Inclusion Criteria

We aim to recruit 24 practices (12 intervention & 12 control) we will collect anonymised data from eligible patients registered at participating practices. Patients will be eligible if they have type 2 diabetes and microalbuminuria and are not excepted from quality outcomes framework (QOF) (whole domain diabetes) for any reason.

Exclusion Criteria

1. GP practices not located in Leicester City CCG, Leicester county east CCG or Leicester county west CCG will not be invited to take part in the study
2. GP practices with a list size of <6500 patients will not be invited to take part in the study

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Proportion (%) of patients meeting both of the following targets: BP <130/80 mmHg and total cholesterol <3.5mmol/l measured 24 months post-intervention.
Secondary Outcome Measures
NameTimeMethod
<br> 1. Incidence of CV events and all-cause mortality<br> 2. Glycaemic control assessed by HbA1c<br> 3. Progression in microalbuminuria assessed via albumin-creatinine ratio (ACR)<br> 4. Kidney function measured via estimated glomerular filtration rate (eGFR)<br> 5. Current type 2 diabetes mellitus medications (use of metformin, Sulphonylureas (SUs), insulin, thiazolidinediones (TZD), glucagon-like peptide-1 (GLP1), dipeptidyl peptidase-4 inhibitor (DPP4) or sodium-glucose linked transporters (SGLT2))<br> 6. Current BP or cholesterol medications (use of ACE inhibitors, ARBs, beta blockers, alpha blockers, aspirin, statins or exenatide)<br> 7. Current smoking status<br>
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