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Management of diabetes by a healthcare team in a cardiology unit: a randomized controlled trial.

ABSTRACT: 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.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.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).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.

SUBMITTER: Moraes MA

PROVIDER: S-EPMC3812557 | biostudies-literature | 2013 Nov

REPOSITORIES: biostudies-literature

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Management of diabetes by a healthcare team in a cardiology unit: a randomized controlled trial.

Moraes Maria Antonieta P de MA Rodrigues Juliane J Cremonesi Mariana M Polanczyk Carisi C Schaan Beatriz D BD

Clinics (Sao Paulo, Brazil) 20131101 11

<h4>Objective</h4>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.<h4>Methods</h4>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.<h4>Results</h4>The mean age of the patients was 61.7 ...[more]

PMID: 24270950

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Management of diabetes by a healthcare team in a cardiology unit: a randomized controlled trial.

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Management of diabetes by a healthcare team in a cardiology unit: a randomized controlled trial.

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