Stop Emergency Room Visits for Hyperglycemia Project - District of Columbia (DC)

• Status: Completed
• Trial end date: 2009-01-01
• Target enrollment: 0
• Participant gender: All

Summary

To demonstrate that a focused Emergency Department (ED) intervention for uncontrolled hyperglycemia enables safe and effective glycemic management and reduces emergency room re-visits. We assessed hypoglycemia BG < 60mg/dL; change in mean blood glucose and A1C, and ED revisits for hyperglycemia.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Medstar Health Research Institute
• Collaborator: District of Columbia Department of Health
• Treatments: Hypoglycemic Agents; Insulin; Metformin

Criteria

Inclusion Criteria:

• Age > 18 years

• Type 2 Diabetes Mellitus,

• random BG > 200 mg/dL,

• willing and able to provide informed consent and to participate in diabetes self-management education (DSME)

• stable for discharge from the ED once hyperglycemia treatment initiated.

Exclusion Criteria:

• type 1 Diabetes Mellitus,

• diabetic ketoacidosis or hyperosmolar non-ketotic state,

• concomitant treatment with glucocorticoids (other than stable maintenance dose therapy),

• cognitive or physical impairment preventing participation in DSME

• unwillingness or inability to provide consent and/or attend follow-up visits.