Efficacy of Structured Insulin Order

Mass General Brigham

Status: Completed

Conditions: Type 2 Diabetes Mellitus

Treatments: Other: Diabetes Management

Study type: Interventional

Funder types: Other

Identifiers

NCT01130558

2008P-0022131

Details and patient eligibility

About

The purpose of this study is to determine whether an electronic order template for basal-bolus insulin will improve mean blood glucose in hospitalized general medical patients with poorly controlled type 2 diabetes.

Full description

The study randomly assigned internal medicine residents to use an electronic insulin order template plus basal-bolus ordering education versus education only. For all patients with uncontrolled type 2 diabetes treated by these physicians, mean blood glucose, rate of hypoglycemia, and rate of sliding scale insulin use were measured.

Enrollment: 128 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Blood glucose less than 60 mg/dl or greater than 180 mg/dl during hospital stay

Exclusion criteria

• Diagnosis of Type 1 Diabetes

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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128 participants in 2 patient groups

Ordering template and education

Active Comparator group

Description:

Internal medical residents who were asked to use the insulin order template and received education about basal-bolus insulin ordering.

Treatment:

Other: Diabetes Management

Education

Active Comparator group

Description:

Internal medical residents who received education about basal-bolus insulin ordering.

Treatment:

Other: Diabetes Management