Effect of Care Management on Diabetes Outcomes
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diabetes Mellitus
- Sponsor
- Minneapolis Veterans Affairs Medical Center
- Enrollment
- 550
- Locations
- 1
- Primary Endpoint
- 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
- Status
- Completed
- Last Updated
- 16 years ago
Overview
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.
Investigators
Eligibility Criteria
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
Outcomes
Primary Outcomes
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
Time Frame: one year
Secondary Outcomes
- Safety of the intervention (occurence of adverse events over the course of the trial)(one year)