None listed
Conditions
Brief summary
This study will examine the effects of tight blood pressure control in Maori and Pacific patients with type 2 diabetes complicated by diabetic renal disease. It is already a well known that keeping blood pressure below 130/80 will delay the progression of renal disease caused by diabetes. However many patients do not achieve this level of blood pressure control. 65 people who meet the inclusion criteria will be allocated to either conventional treatment (general practitioner and specialist clinics) or community care (general practitioner, specialist clinics and a community health care worker). The community health care worker will be of the same ethnicity as the patient and will visit the person at home or their place of employment on a monthly basis. At these visits blood pressure will be measured and under the supervision of research doctor blood pressure medication will be adjusted if need be. This trial will involve 65 patients in the Central Auckland and West Auckland areas.
Interventions
The community based model of blood pressure lowering being tested will see trained healthcare assistants visiting patients in the intervention arm on a monthly basis to measure blood pressure, check compliance with medication and under supervision increase anti hypertensive therapy using an intensification protocol.
Sponsors
John Collins
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
30 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
Maori and Pacific Islands patients with type 2 diabetes, with diabetic nephropathy (elevated 24 hour urine albumin of > 500mg /24hr and clinically defined using standard clinical symptoms/signs and exclusion of significant other causes for renal impairment) and impaired renal function (serum creatinine 0.10 to 0.3mmol/l) will be included in the study.
Exclusion criteria
No exclusion criteria
Outcome results
None listed