Diabetes Outcomes and Nurse Case Manager Study (DONCM)

BCDiabetes.Ca

Status: Completed

Conditions: Type 2 Diabetes

Treatments: Behavioral: Nurse Case Management; Behavioral: standard diabetologist care

Study type: Interventional

Funder types: NETWORK; Industry

Identifiers

NCT01659294

1-Elliott

Details and patient eligibility

About

This study will examine whether patients with diabetes who are either 1) newly discharged from hospital or 2) referred to an endocrinologist for management will have better diabetes outcomes when their care is managed primarily by a dedicated case manager (intervention) than by an endocrinologist (standard care) after 6 months of treatment.

Full description

The study will be a randomized-control trial recruiting patients with type 2 diabetes in a specialty care setting from two sources:

1. referred by family physicians with inadequate glycemic control likely requiring exogenous insulin therapy
2. referred by medical staff at Vancouver General Hospital or St. Paul's Hospital during in-patient care & about to be discharged (Appendix 1).

Patients who meet the inclusion criteria will be randomly assigned into either the NCM group or SC group.

Enrollment: 140 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Type 2 diabetes
• A1c > 8.0 or
• BP > 140/90 or
• LDL cholesterol > 2.0 (72 mg/dl)

Exclusion criteria

• inability to speak English or to be assisted by somebody fluent in English

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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140 participants in 2 patient groups

nurse case management

Experimental group

Description:

nurse case management of diabetic variables

Treatment:

Behavioral: Nurse Case Management

standard diabetologist care

Active Comparator group

Description:

standard diabetologist care

Treatment:

Behavioral: standard diabetologist care