Management of diabetes by a healthcare team in a cardiology unit: a randomized controlled trial
Clinics
;
68(11): 1400-1407, 1jan. 2013. tab, graf
Article
in English
| LILACS
| ID: lil-690621
ABSTRACT
OBJECTIVE:
To assess the effectiveness of healthcare team guidance in the implementation of a glycemic control protocol in the non-intensive care unit of a cardiology hospital.METHODS:
This was a randomized clinical trial comparing 9 months of intensive guidance by a healthcare team on a protocol for diabetes care (Intervention Group, n = 95) with 9 months of standard care (Control Group, n = 87). Clinicaltrials.gov NCT01154413.RESULTS:
The mean age of the patients was 61.7±10 years, and the mean glycated hemoglobin level was 71±23 mmol/mol (8.7±2.1%). The mean capillary glycemia during hospitalization was similar between the groups (9.8±2.9 and 9.1±2.4 mmol/l for the Intervention Group and Control Group, respectively, p = 0.078). The number of hypoglycemic episodes (p = 0.77), hyperglycemic episodes (47 vs. 50 in the Intervention Group and Control Group, p = 0.35, respectively), and the length of stay in the hospital were similar between the groups (p = 0.64). The amount of regular insulin administered was 0 (0-10) IU in the Intervention Group and 28 (7-56) IU in the Control Group (p<0.001), and the amount of NPH insulin administered was similar between the groups (p = 0.16).CONCLUSIONS:
While guidance on a glycemic control protocol given by a healthcare team resulted in a modification of the therapeutic strategy, no changes in glycemic control, frequency of episodes of hypoglycemia and hyperglycemia, or hospitalization duration were observed. .
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Patient Care Team
/
Cardiology Service, Hospital
/
Hypoglycemic Agents
/
Insulin
Type of study:
Controlled clinical trial
/
Practice guideline
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Clinics
Journal subject:
Medicine
Year:
2013
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Instituto de Cardiologia, Fundacao Universitaria de Cardiologia/BR
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