Clinical and Economic Benefits of Cardiovascular Risk Management by a Dietician in Type 2 Diabetes Patients (GRC)
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Purpose
Worldwide, health systems and practitioners are facing obesity epidemics. High blood pressure, dyslipidemia and diabetes prevalence will explode during the 21st century.
The two main objectives of this 2-year controlled prospective study are:
- to demonstrate that, for patients with high blood pressure, diabetes and dyslipidemia, dietician conducted survey and management in combination with annual endocrinologist follow-up enable both attainment and maintenance of recommended blood pressure, glycemic and lipid goals, as well as smoking cessation;
- to demonstrate that dietician management is more cost effective than conventional care provided by general practitioners and endocrinologists.
Results are expected to show significantly different cardiovascular risk profiles (BMI and waist circumference, systolic and diastolic blood pressure, LDL-C, triglycerides and Total cholesterol/HDL ratio, HbA1c, smoking) between baseline and after 2 years follow-up. Sample size was determined in order to show statistically significant differences between the two groups.
Results will document for the benefit of care givers, health economists and policy makers alike an innovative and integrated model of care which is expected to be effective at the patient level as well as cost effective with respect to the increasing financial burden of diabetes on the health system.
| Condition | Intervention |
|---|---|
|
Type 1 Diabetes Type 2 Diabetes |
Behavioral: Intensive treatment Other: Normal follow-up |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Clinical and Economic Benefits of Cardiovascular Risk Management by a Dietician in Diabetic Patients |
- Lipid profile [ Time Frame: 36 months ] [ Designated as safety issue: No ]
- Blood pressure [ Time Frame: 36 months ] [ Designated as safety issue: No ]
- HbA1c [ Time Frame: 36 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 80 |
| Study Start Date: | March 2007 |
| Estimated Study Completion Date: | March 2012 |
| Estimated Primary Completion Date: | March 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Intensive treatment
Submitted to an intensive follow-up by the dietician.
|
Behavioral: Intensive treatment
Subjects will be followed by the dietician in combination with his/her endocrinologist. Diet, physical activity, smoking cessation and drug prescriptions will be used to treat subjects.
|
|
Active Comparator: Usual treatment
Subjects will remain under the care of their endocrinologist and/or general practitioner.
|
Other: Normal follow-up
Subject will continue to be followed by their endocrinologist and general practitioner as they already do.
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- HbA1c > 7%
- More than 2 follow-up visits
Contacts and Locations| Canada, Quebec | |
| Centre de recherche clinique Étienne-Le Bel du CHUS | |
| Sherbrooke, Quebec, Canada, J1H 5N4 | |
| Principal Investigator: | Patrice Perron, MD, MSc | Universitaire de Sherbrooke |
More Information
No publications provided
| Responsible Party: | Jean-Luc Ardilouze, Endocrinologist, researcher, Universitaire de Sherbrooke |
| ClinicalTrials.gov Identifier: | NCT00444899 History of Changes |
| Other Study ID Numbers: | NRA3840020 |
| Study First Received: | March 7, 2007 |
| Last Updated: | November 17, 2011 |
| Health Authority: | Canada: Ethics Review Committee |
Keywords provided by Universitaire de Sherbrooke:
|
Intensive treatment dietician |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 1 Diabetes Mellitus, Type 2 Glucose Metabolism Disorders |
Metabolic Diseases Endocrine System Diseases Autoimmune Diseases Immune System Diseases |
ClinicalTrials.gov processed this record on May 19, 2013