None listed
Conditions
Brief summary
The aim of this study is to evaluate whether a pre-operative clinical medical and educational intervention will improve outcomes after cardiac surgery (such as reduced wound infections through improved glycaemic control). This will be done by providing a rapid clinical assessment and management of patients with diabetes prior to their cardiac surgery.
Interventions
Pre-operative intervention involving review of diabetes treatment, medication and diet. Each person will be assessed by the consultant endocrinologist and their management tailored accordingly by the diabetes nurse consultant and dietician. The pre-operative intervention will occur from their visit to the pre-admission clinic to the time of their six week post-operative visit to out-patients (a total of 12 weeks approximately).
Sponsors
Dept. of Endocrinology and Diabetes
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 79 Years
Healthy volunteers
No
Inclusion criteria
diagnosed type 2 diabetes mellitus -HbA1c between 6.5% and 10%* -age 18 years to 79 years - the capacity to give and accept informed consent to participate in the research -attendance at pre-admission clinic - scheduled cardiac surgery (coronary artery bypass surgery +/- valve surgery)
Exclusion criteria
age under 18 years or >80 years -chronic renal disease, stage III or IV -psychosis or psychiatric disorder -active cancer within last 5 years -pregnancy (BHCG in urine screening test) or lactation -inability to provide informed consent (i.e. has an intellectual disability, dementia) -unable to communicate in English - additional types of cardiac surgery other than coronary artery bypass surgery +/- valve surgery)
Outcome results
None listed