Diabetic ketoacidosis Nutritional, Metabolic, Endocrine Diabetic ketoacidosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Two or more admissions for diabetic ketoacidosis in the last 12 months 2. Type 1 diabetes 3. Over 18 years old
Exclusion criteria
Exclusion criteria: 1. Diagnosis of type 1 diabetes for less than 12 months 2. DKA admissions secondary to other types of diabetes (type 2 diabetes, gestational diabetes) 3. Established diagnosis of psychotic illness 4. Established diagnosis of alcohol dependence disorder or other substance misuse disorder 5. Established IQ < 70 6. Already receiving psychological intervention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility outcomes: 1. Eligibility rate is measured by numbers of patients across 6 sites having 2 or more DKA episodes in last year 2. Recruitment rate is measured by number of patients recruited over number of patients assessed 3. Clinician willingness to recruit participants is measured by number of patients they would refer over TOTAL number eligible 4. Attrition rate is measured by the number of participants who consent to participate that remain in the study until follow-up at 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Glycated hemoglobin (HbA1c) is measured using a HbA1c test at baseline and 3 months 2. Average blood glucose is measured using a blood glucose monitor at baseline and for the 2 weeks prior to 3 months follow-up 3. Tests/day is measured as number of tests done at baseline and for the 2 weeks prior to 3 months follow-up 3. Boluses/day is measured as recorded boluses on electronic meter at baseline and for the 2 weeks prior to 3 months follow-up 4. Depression symptoms are measured using the Becks depression inventory at baseline and 3 months 5. Anxiety symptoms is measured using the Becks anxiety inventory at baseline and 3 months 6. Interpersonal functioning is measured using IIP 32 at baseline and 3 months 7. Reflective functioning is measured using RFQ54 at baseline and 3 months | — |
Countries
United Kingdom