Diabetes Mellitus
Conditions
Keywords
diabetes, continuous glucose monitoring, remote patient monitoring
Brief summary
This study evaluates whether the use of a Continuous Glucose Monitoring (CGM) device combined with a Remote Patient Monitoring (RPM) program can improve blood sugar control and reduce hospital visits among patients with poorly controlled diabetes who have recently been discharged from the hospital. The study, led by White Plains Hospital (WPH) Cares, will follow 208 patients for 90 days after their discharge. Half of the participants will receive standard care, while the other half will receive a Dexcom G7 CGM device along with support from trained nurses who will monitor their glucose readings daily. The goal is to determine whether this approach helps lower Hemoglobin A1c (HbA1c) levels, reduces hospital readmissions, and improves overall health outcomes.
Interventions
DEVICEContinues glucose monitoring with remote glucose monitoring for 90 days
CGM + RPM
Sponsors
White Plains Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Discharged Home from the WPH Inpatient Setting A1c \>= 8.0 within 90 days of discharge \>= 18 Years of Age Lives within Westchester County
Exclusion criteria
* \<18 Years of Age Patient With Documented Cognitive Impairment or Decisional Incapacity Pregnant or Plans to Become Pregnant in 6 Months Discharge Disposition of Short-term or Long-term Care Facility, Assisted Living Facility, Group Home, Against Medical Advice/Eloped, or Home Hospice Patient or Caregiver Unable to Check Glucose at Home Using a Home Glucometer Lives Outside Westchester County
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hemoglobin A1c | 90 days |
Secondary
| Measure | Time frame |
|---|---|
| 30 days hospital readmissions | 30 days |
| Overall healthcare utilization | 90 days |
| Acute care visits related to abnormal glucose reading | 30 days |
Other
| Measure | Time frame | Description |
|---|---|---|
| Changes in Medical Glucose Readings | 7 day | — |
| Equity in Program Participation | 2 years | (% of Participants Who Are Hispanic, African American, or Uninsured) |
| Percentage of Patients Enrolled in the Program | 2 years | — |
Contacts
Primary ContactMichelle Elsener, MBA, BSN, RN-BC, CPHQ
Backup ContactKatarzyna Zarychta, MS
Outcome results
None listed