Glycemic Optimization On Discharge From the Emergency Room
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diabetes Mellitus
- Sponsor
- Mark O'Connor
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Change in Diabetes Distress
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Continuous glucose monitors can help people with diabetes avoid blood sugar levels that are either dangerously high or low. This study evaluates whether continuous glucose monitoring after discharge from the emergency room can help people with type 1 or type 2 diabetes avoid repeat emergency room visits, achieve improved blood sugar control, and feel less distressed about managing their diabetes.
Investigators
Mark O'Connor
Assistant Professor
University of Massachusetts, Worcester
Eligibility Criteria
Inclusion Criteria
- •Seen in the Emergency Department for hypo- or hyperglycemia
- •Either an existing diabetes center patient or a new referral
- •Type 1 or type 2 diabetes
- •Able to provide informed consent
- •Fluent in English or Spanish
Exclusion Criteria
- •Current CGM use
- •Need for hospital admission
- •Upcoming CT or MRI within 2 weeks
- •Pregnancy
- •Altered mental status
- •Not appropriate for diabetes center follow up
- •Prisoners
Outcomes
Primary Outcomes
Change in Diabetes Distress
Time Frame: Change from emergency room visit to first outpatient follow-up visit (2 or 3 weeks)
Diabetes-related distress will be measured via the 17-question Diabetes Distress Scale (DDS). A higher score indicates more diabetes-related distress. The scale ranges from 1 (low distress) to 6 (high distress).
Outpatient Clinic Attendance Rate
Time Frame: Follow-up visits will generally occur within 2 or 3 weeks
This outcome will measure whether or not each participant attends a subspecialty follow-up appointment as recommended by the emergency room care team.
Change in the Problem Areas in Diabetes Score
Time Frame: Change from emergency room visit to first outpatient follow-up visit (2 or 3 weeks)
Each participant will fill out the five-question Problem Areas In Diabetes (PAID5) scale. A higher score indicates worse quality of life. Scores range from 0 (good quality of life) to 20 (poor quality of life).
Secondary Outcomes
- Time In Range(Up to 14 days after the initial emergency visit)
- Percentage Time CGM Active(Up to 14 days after the initial emergency visit)
- Number of Sensor Checks Per Day(Up to 14 days after the initial emergency visit)
- Number of Patients With Repeat Emergency Utilization(6 months)
- Change in Hemoglobin A1c(6 Months)
- Outpatient Visits for Which the CGM Data Changed Management(2-3 Weeks)