Evaluation of the Effectiveness of Insulin Injection Technique Education on Glycemic Control in Geriatric Patients with Type 2 Diabetes Mellitus- A prospective, randomized, controlled, parallel-group interventional study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 124
- Locations
- 1
- Primary Endpoint
- To measure improvement in HbA1c at 3- and 6- months following structured insulin injection technique education.
Study Overview
Brief Summary
Geriatric patients with T2DM face unique barriers to effective insulin self-administration due to age-associated factors such as cognitive decline, poor vision, tremors, and polypharmacy. These challenges often result in improper injection practices like site reuse, incorrect angles, and needle reuse, which contribute to complications such as lipohypertrophy, poor insulin absorption, and suboptimal glycemic control. Despite the availability of international guidelines, educational interventions remain underutilized in Indian clinical settings, especially in the older adults. This study aims to assess whether structured, tailored, and reinforced education can translate into better clinical and behavioral outcomes for this vulnerable population.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 65.00 Year(s) to 99.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Diagnosed with T2DM Currently on insulin therapy (stable dose) for at least 6 months Capable of insulin self-administration or caregiver availability for insulin administration Able to provide informed written consent.
Exclusion Criteria
- •Terminal illness or clinical frailty scores more than 7 Recent structured insulin education within 6 months.
Outcomes
Primary Outcomes
To measure improvement in HbA1c at 3- and 6- months following structured insulin injection technique education.
Time Frame: To measure improvement in HbA1c at 3- and 6- months following structured insulin injection technique education.
Secondary Outcomes
- 1. To assess the baseline knowledge of insulin injection techniques in geriatric diabetic patients.(2. To measure improvement in FBS (Fasting blood sugar), PPB Post prandial blood sugar) & Total Daily Dosing of insulin at 3- & 6- months following structured insulin injection technique education.)
Investigators
Dr Nidhi Soni
AIIMS New Delhi