Health Condition 1: E118- Type 2 diabetes mellitus with unspecified complications Health Condition 2: E116- Type 2 diabetes mellitus with other specified complications Health Condition 3: E138- Other specified diabetes mellituswith unspecified complications Health Condition 4: Z488- Encounter for other specified postprocedural aftercare Health Condition 5: R739- Hyperglycemia, unspecified
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adults aged 18 years or older 2. Undergoing cardiac surgery and admitted to the post operative cardiac intensive care unit (ICU) 3. Diagnosed with: Pre existing diabetes mellitus (type2) or New onset hyperglycemia during their ICU stay (defined as blood glucose levels greater that 180 mg dl on two or more occasions) 4. Expected to remain in the ICU for at least 4-5 days postoperatively 5. Able to provide informed consent or have a legally authorized representative provide consent on their behalf
Exclusion criteria
Exclusion criteria: 1. Diagnosed with type 1 diabetes mellitus or other forms of diabetes requiring specialized insulin regimens 2. Unable or unwilling to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary Objectives: 1. To compare the efficacy of Smart Insulin Recommendation App (SIRA) in achieving optimal glycemic control (80 to 180mg/dl) as compared to standard operating procedures in hospitalized patients. 2. To compare the mean blood glucose between the two groups. Timepoint: NA | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary Outcomes: 1. Incidence of mild & severe hypoglycemia between the two groups. 2. Incidence of mild & severe hyperglycemia between the two groups. 3. Postoperative glucose variability, measured as the coefficient of variation (CV), between the two groups. 4. Incidence of postoperative complications, including infections, acute kidney injury, stroke, cardiac events, & mortality, between the two groups. 5. Length of ICU stay & total hospital stay between the two groups. Exploratory Outcome: 1. Nurse satisfaction scores as measured by using the unified theory of acceptance & use of technology (UTAUT) model. Timepoint: NA | — |
Countries
India
Contacts
Medanta- The Medicity