Type 2 Diabetic nephropathy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Type 2 diabetic nephropathy patients at Stages 1-3 according to the diabetic guideline 1. Beneficiaries of Hiroshima-city National Health Insurance and Union National Health Insurance living in Hiroshima prefecture, and the insured of Japan Health Insurance Association, Hiroshima chapter, and National Federation of Health Insurance Societies of Hiroshima. 2. A patient was judged by his/her general physician or physician in charge of diabetic treatment intended to participate in this study 3. An outpatient in diabetic treatment 4. Age =>20 and =<74 years old of both sexes 5. Not participate in another clinical study 6. The patient who can receive health education with PC or personal digital assistants (PDA)
Exclusion criteria
Exclusion criteria: 1. A patient was judged as unable to measure blood pressure, pulse rate, blood glucose, and body weight by him/herself or family members 2. An inpatient 3. A patient at Renal Replacement Therapy (RRT) 4. A patient who has a plan for renal transplantation within 6 months 5. A patient at end stage 6. Type 1 diabetes and in case of secondary diabetes 7. Pregnant women 8. Dementia 9. Those who have behavioral problems and be considered as difficult to continue the program by a general physician or physician in charge of diabetic treatment or researcher
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Physiological indicators: Blood pressure, pulse rate, BMI, fasting blood glucose, serum creatinine, nonHDL-cholesterol, triglycerides, eGFR, urine protein/urine albumin, HbA1c, change of the diabetic nephropathy stages 2. The number of patients who initiated Renal Replacement Therapy (RRT) 3. Behavioral indicators: -Amount of activity (the number of steps per month) -The percentage of lifestyle improvement -The percentage of program implementation following indicators (self-measurement times of blood pressure, pulse rate, fasting blood glucose and body weight) -The presence or absence of a regular consultation 4. Onset and progression of diabetic complication and disease: -Diabetic complications -Infectious diseases -Heart disease, cerebrovascular disease, peripheral artery disease, hypertension, dyslipidemia -Onset of foot lesion 5. Medical treatment of the following departments: (Ophthalmology, nephrology, internal medicine, neurology, dermatology, surgery, vascular surgery, dentistry, cardiology, urology, orthopedic, psychiatry) -Hospitalization (disease name), period, the number of frequencies 6. The function of ICT's application -Accessibility, satisfaction of application, the suitability of ICT's application | — |
Countries
Japan
Contacts
Graduate school of Biomedical & Health Sciences, Hiroshima University Health Science Major