Diabetes
Conditions
Keywords
Diabetes, HbA1c, Fructosamine, Blood Pressure, Telemonitoring
Brief summary
The study is a two-arm, parallel-comparison, single-blind, randomized controlled trial, and will be offered to Kaiser Permanente members aged 18 - 75 years old who present to the Santa Rosa Diabetes Care Management Center with Type 2 diabetes mellitus. Participants will be randomly assigned to one of two treatment arms. The telemedicine group or the group receiving usual care (the control group). This study hopes to show the usefulness of this telemonitoring technology and more specifically, to assess whether this device improves markers of control of diabetes, glycemic control, and cardiovascular risk factors
Interventions
Telemonitoring device was installed in patients' homes
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 - 75 years old, * diagnosis of type 2 diabetes mellitus for at least 1 month, * eligible for and referred to the diabetes care management program, * HbA1c values in the range: 7.5% to 10.5%.
Exclusion criteria
* Weight \> 330 lbs, * estimated glomerular filtration rate (GFR) \< 45, * unstable coronary artery disease, * severe peripheral vascular disease which restricted exercise, * end-stage liver disease, * undergoing treatment for cancer, * pregnant or not using appropriate birth control, * no broadband internet access in their homes.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fructosamine | 6 weeks | Change from baseline to 6 weeks in serum fructosamine levels |
| glycosylated hemoglobin | 6 months | change from baseline to 6 months in serum HbA1c levels |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| blood pressure | 6 weeks and 6 months | goal of systolic \< 130 mmHg and diastolic \< 70 mmHg |