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The Synergy to Control Emergency Department Hyperglycemia Program for Type 2 Diabetes

CompletedNA

Sponsor: Medstar Health Research Institute

Conditions: Diabetes Mellitus, Type 2, Medication Adherence, HYPERGLYCEMIA

Interventions: Diabetes medication management

Countries: United States

A 4 week prospective, randomized controlled study was carried out to assess the impact of a care delivery intervention which focused on blood glucose (BG) management among adults with type 2 diabetes presenting to the Emergency Department (ED) with BG \> 200mg/dL (11.1 mmol/L). The intervention was designed by a multi-disciplinary team of ED physicians and nurses, endocrinologists and diabetes educators. The intervention incorporated three components: a guideline-based algorithm for diabetes medication management; survival skills diabetes self-management education (DSME); and support for health system navigation. The control group received usual care per the ED's policies and procedures for management of high blood glucose.

Eligibility overview

Sex: ALL

Age: 18 Years to —

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* A new or existing diagnosis of type 2 diabetes;
* BG \> 200 mg/dl in the ED;
* age \>/= 18 years;
* willing and able to check BG and self-inject insulin, if required and otherwise stable for discharge to the outpatient setting.

Exclusion Criteria:

* type 1 diabetes and other specific types of diabetes per the American Diabetes Association Position Statement on the Classification of Diabetes Mellitus,
* pregnancy or anticipated conception in the next 3 months;
* treatment with a glucocorticoid, unless at a stable physiologic replacement dose; or
* a history of diabetic ketoacidosis.

Locations (1)

Washington D.C., District of Columbia, United States