Diabetes Mellitus Type 2
Conditions
Keywords
Adherence with discharge diabetes medications, Diabeted mellitus type 2 greater than one year, Patient with provider and prescriptions filled within CCHS
Brief summary
The purpose of the study is to evaluate patient adherence with discharge diabetes medications up to 120 days following pharmacist counseling during hospital stay about diabetes self management
Detailed description
It is a prospective, randomized, controlled Study. Patients randomized in a 1:1 ratio to pharmacist counseling or standard of therapy prior to discharge. Standard therapy: Nurses distribute a education pamphlet on diabetes. Pharmacist Counseling includes but is not limited to: * Reviewing and explaining their medications (dosing, side effects, route) * Reviewing symptoms and complications of hyper and hypoglycemia * Defining glycemic & non-glycemic goal levels * Explaining the importance of compliance with medications & appointments * Educating on the basics of nutrition and physical activity
Interventions
Pharmacist Counseling includes but is not limited to: Reviewing and explaining their medications (dosing, side effects, route) Reviewing symptoms and complications of hyper and hypoglycemia Defining glycemic & non-glycemic goal levels Explaining the importance of compliance with medications & appointments Educating on the basics of nutrition and physical activity
Sponsors
Cook County Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Males or females * 18 to 85 years of age * Historical diagnosis of type 2 diabetes mellitus greater than one year * HbA1c concentration ≥ 8% * Discharged from general medicine unit of John H. Stroger Jr, Hospital of Cook County * Patient with provider and prescriptions filled within CCHS
Exclusion criteria
* Type 1 diabetes mellitus * Pregnancy * Major illness or debility, that prohibits the subject from participating in the study * History of any hemoglobinopathy that may affect determination of HbA1c * Non-English speaking patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence with discharge diabetes medications up to 120 days following pharmacist counseling during hospital stay about diabetes self management | up to 120 days | The primary efficacy endpoint will be the difference in rate of adherence with medications Adherence will be assessed at 30, 60, 90, and 120 days following discharge An average of the total adherence rate 120 days following discharge will be calculated as the primary outcome measure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in A1c after 90 days | up to 90 days | A1c measure as % and lipid panel 90 days following pharmacist counseling * To demonstrate an improvement in health literacy following pharmacist counseling on diabetes * To evaluate patient compliance with follow up appointments up to 90 days following pharmacist counseling |
| Change in BP after 90 days | up to 90 days | BP in mm/Hg |
| Change in lipids after 90 days | up to 90 days | Lipid measurements in mg/dL |
Countries
United States
Outcome results
None listed