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A Study Comparing Standard Care for Diabetes to Case-managed Care for Diabetes in Patients With Coronary Artery Disease

CompletedNA

Sponsor: Ottawa Heart Institute Research Corporation

Conditions: Diabetes Mellitus, Type 2, Coronary Disease

Interventions: Consultation with Endocrinologist, Counseling from Dietician, Counseling from Diabetes Educator, No intervention

Countries: Canada

The purpose of this study is to compare two ways to treat patients with Type 2 Diabetes, Standard Care or Case-Managed Care. In-Patient Standard Care is guided by the assigned cardiologist and Out-Patient Standard Care by the existing diabetes care givers. Case-Managed care involves a consult with an endocrinologist and counseling from a diabetic educator and a dietician.

Eligibility overview

Sex: ALL

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* Diabetes Mellitus, type 2, as defined by at least one of the following:

  * Previous diagnosis of diabetes
  * two glucose levels consistent with diabetes (fasting glucose \>7.0 mmol/L or random glucose \>11.0 mmol/L )
  * HbA1C \> 6.5% using DCCT standardized methods And

Coronary Disease, as defined by at least one of the following:

* Admitting diagnosis of acute coronary syndrome defined by 2/3 of typical history, enzyme changes, dynamic ECG changes
* Prior history of acute coronary syndrome defined as above
* Previously documented myocardial infarction
* Previous coronary revascularization procedure
* Coronary artery disease defined by coronary angiography
* Exercise or persantine nuclear perfusion imaging positive for ischemia

Exclusion Criteria:

* Refusal to enter the study
* Inability to understand consent forms and provide informed consent
* Anticipated length of non-ICU hospital stay less than 48 hours
* Diabetes Mellitus, type 1

Locations (1)

Ottawa, Ontario, Canada