Effect of Care Management on Diabetes Outcomes
Not Applicable
Completed
- Conditions
- Diabetes Mellitus
- Interventions
- Other: Case Management
- Registration Number
- NCT00569556
- Lead Sponsor
- Minneapolis Veterans Affairs Medical Center
- Brief Summary
The purpose of the study is to determine if a nurse managed, protocol driven, disease management process for diabetes results in improved attainment of therapeutic goals for diabetes compared to usual care. It is hypothesized that implementation of the disease management process will improve the percentage of diabetic individuals attaining all three therapeutic targets (HgbA1C\<8.0%, LDL\<100mg/dl, and BP\<130/80mmHG) by 10% compared to usual care.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 550
Inclusion Criteria
- Enrolled at Minneapolis VAMC
- Type 1 or 2 diabetes
- Blood pressure at screening visit > 140mmHg systolic or > 90mmHg diastolic OR HgbA1C at screening visit > 9.0% OR LDL at screening visit > 100mg/dL
Exclusion Criteria
- Primary care provider unwilling to have participant included in study
- Life expectancy < 1 year
- Unable to give consent
- Severe mental health condition
- pregnant or planning on becoming pregnant
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Usual Care Case Management Patients receive care through primary care provider Case Management Case Management Specially trained nurse case managers contact patients by telephone; monitor blood pressure, LDL, and HgbA1C;, and recommend lifestyle and medication changes as needed
- Primary Outcome Measures
Name Time Method Combined outcome of BP<130/80 mmHG, HgbA1C<8%, and LDL<100mg/dl at 1 year; the primary analysis will compare the intervention to usual care with respect to the percentage of diabetic individuals achieving all three therapeutic goals one year
- Secondary Outcome Measures
Name Time Method Safety of the intervention (occurence of adverse events over the course of the trial) one year
Trial Locations
- Locations (1)
Minneapolis Veterans Affairs Medical Center
🇺🇸Minneapolis, Minnesota, United States