The intervention being tested is aimed at general practitioners and practice nurses. The intervention will support practices in managing patients with type 2 diabetes and microalbuminuria. Not Applicable
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: We aim to recruit 24 practices (12 intervention & 12 control) we will collect anonymised data from eligible patients registered at participating practices. Patients will be eligible if they have type 2 diabetes and microalbuminuria and are not excepted from quality outcomes framework (QOF) (whole domain diabetes) for any reason.
Exclusion criteria
Exclusion criteria: 1. GP practices not located in Leicester City CCG, Leicester county east CCG or Leicester county west CCG will not be invited to take part in the study 2. GP practices with a list size of <6500 patients will not be invited to take part in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion (%) of patients meeting both of the following targets: BP <130/80 mmHg and total cholesterol <3.5mmol/l measured 24 months post-intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Incidence of CV events and all-cause mortality 2. Glycaemic control assessed by HbA1c 3. Progression in microalbuminuria assessed via albumin-creatinine ratio (ACR) 4. Kidney function measured via estimated glomerular filtration rate (eGFR) 5. Current type 2 diabetes mellitus medications (use of metformin, Sulphonylureas (SUs), insulin, thiazolidinediones (TZD), glucagon-like peptide-1 (GLP1), dipeptidyl peptidase-4 inhibitor (DPP4) or sodium-glucose linked transporters (SGLT2)) 6. Current BP or cholesterol medications (use of ACE inhibitors, ARBs, beta blockers, alpha blockers, aspirin, statins or exenatide) 7. Current smoking status | — |
Countries
United Kingdom