3-Month Trial Observation of A1c Change
The incidence of type 2 diabetes in long term care facilities has been approximated at 25% with barriers to treatment including untimely access to a specialist and improper/poor adherence to insulin regimes. This 3 month trial will investigate the efficacy of improving overall glycemic control by using an internet blood glucose reporting system to facilitate bi-weekly consultations between long term care facility patients with type 2 diabetes and an endocrinologist.
|Study Design:||Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Supportive Care
|Official Title:||Assessment of an Internet Blood Glucose Management Program in a Chronic Care Hospital|
- HbA1c [ Time Frame: 0 and 3 months ] [ Designated as safety issue: No ]Hemoglobin A1c will be measure at 0 and 3 months to determine the efficacy of the internet blood glucose monitoring system as measured by change in glycemic control.
- Staff satisfaction [ Time Frame: 3 months ] [ Designated as safety issue: No ]Measure of hospital staff satisfaction of using the Health-e-Connect platform to help patients communicate with an endocrinologist
- Frequency of Self-Monitoring [ Time Frame: 3 months ] [ Designated as safety issue: No ]Measure the frequency of blood glucose self-monitoring of the patients by collecting the total number of tests using the provided meter.
- unplanned hospitalizations [ Time Frame: 3 months ] [ Designated as safety issue: Yes ]A secondary endpoint includes adverse events such as unplanned hospitalizations for any cause that last more than 24 hours
|Study Start Date:||October 2011|
|Estimated Study Completion Date:||September 2012|
|Estimated Primary Completion Date:||September 2012 (Final data collection date for primary outcome measure)|
|Experimental: Internet Intervention||
Other: Internet Communication
bi-weekly communication of blood sugars using an internet platform between patients with type 2 diabetes and an endocrinologist
Purpose: This project will investigate the benefits (as measured by change in the primary outcome measure hemoglobin A1c) of bi-weekly reporting of blood sugar values for patients with type 2 diabetes in long term care facilities.
Hypothesis: Our hypothesis is bi-weekly reporting will result in a reduction in A1c after 3 months.
Justification: Elevated A1c values increase risk of health complications for people with type 2 diabetes.
Objectives: Improved type 2 diabetes management for patients in long term care facilities.
Research Methods: Patients who meet the inclusion / exclusion criteria and are interested in participating in the study will self-identify to the research coordinator. Consent will be done in person with any questions answered. Strips and blood glucose meters will be provided. Blood glucose values and testing frequency will be recorded using the internet reporting system Heath-e-Connect. HbA1c, serum creatinine and demographic data will be collected at 0 and 3 months to determine effect of bi-weekly remote communication of blood glucose with an endocrinologist.
Statistical Analysis: HbAlc values at 0 and 3 months will be compared using an unpaired t-test to measure the effect of the intervention
|Canada, British Columbia|
|Endocrine Research Society|
|Vancouver, British Columbia, Canada, V6E 1M7|
|Principal Investigator:||Hugh Tildesley||Providence Health Care, University of British Columbia|