Medication Adherence, Poor Glycemic Control, Type 2 Diabetes
Conditions
Keywords
Type 2 diabetes, Quality of life, Lifestyle intervention, Telemedicine, Videoconference
Brief summary
The aim of the study is to investigate the effect of telemedicine among the group of type-2-diabetics who, despite rehabilitation, remain poorly regulated. To describe the patients with regards to vulnerability and social resources and to determine wich groups benefit the most from telemedicine.
Detailed description
Type-2-diabetes is a growing healthcare problem. Both because of the increasing amount of patients and because of the complications of diabetes. Non-pharmacological treatment is considered fundamental in the treatment of patients with type-2-diabetes. In the Community of Copenhagen, all patients diagnosed with diabetes receive rehabilitation. The rehabilitation consists of counseling with regards to nutrition, physical activity, smoking cessation and education about diabetes. Some patients however, remain poorly regulated despite rehabilitation as well as pharmacological treatment. A total number of 165 patients will be randomized to intervention group or standard care.
Interventions
BEHAVIORALTelemedicine
Monthly video consultations with a nurse as add-on to standard treatment. The nurse has access to bloodsugar- bloodpressure and weight measurements uploaded by the participants to a tablet computer directly from the devices. Patients on Insulin measure bloodsugar twice a day (fasting and before their evening meal). Patients not on Insulin measure bloodsugar once a week (fasting and before their evening meal). All participants measure bloodpressure and weight once a week. The intervention lasts 32 weeks.
Sponsors
The Health and Care Committee, Copenhagen City Council
Bispebjerg Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
30 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* HbA1c \> 7,5% * BMI \> 25 * Spoken danish * Completed a rehabilitation program more than 6 months ago
Exclusion criteria
* HbA1c \< 7,5% * BMI \< 25 * Need of interpreter
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in HbA1c | Baseline, 16 weeks, 32 weeks, 6 months after intervention |
Secondary
| Measure | Time frame |
|---|---|
| Bloodpressure | Baseline, 32 weeks |
| Waist circumference | Baseline, 32 weeks |
| Hip circumference | Baseline, 32 weeks |
| Body mass index | Baseline, 32 weeks |
| Use of medication | Baseline, 32 weeks |
| Fasting total cholesterol, LDL, HDL, triglycerides | Baseline, 32 weeks |
| Beta-cell function test (HOMA) | Baseline, 32 weeks |
| Weight | Baseline, 32 weeks |
| Physical activity | Baseline, 32 weeks |
| Change in quality of life | Baseline, 32 weeks |
Other
| Measure | Time frame |
|---|---|
| Number of visits at the outpatient department | 32 weeks |
| Number of visits at GP | 32-weeks |
| Number of visits at the emergency | 32 weeks |
| Number of hospital admissions | 32 weeks |
Countries
Denmark
Outcome results
None listed