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Management of diabetes by a healthcare team in a cardiology unit : a randomized controlled trial

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Management of diabetes by a healthcare team in a cardiology unit : a randomized controlled trial

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Título Management of diabetes by a healthcare team in a cardiology unit : a randomized controlled trial
Autor Moraes, Maria Antonieta P.
Rodrigues, Juliane Tavares
Cremonesi, Mariana Barroso
Polanczyk, Carisi Anne
Schaan, Beatriz D'Agord
Abstract OBJECTIVE: To assess the effectiveness of healthcare team guidance in the implementation of a glycemic control protocol in the non-intensive care unit of a cardiology hospital. METHODS: This was a randomized clinical trial comparing 9 months of intensive guidance by a healthcare team on a protocol for diabetes care (Intervention Group, n = 95) with 9 months of standard care (Control Group, n = 87). Clinicaltrials.gov: NCT01154413. RESULTS: The mean age of the patients was 61.7¡10 years, and the mean glycated hemoglobin level was 71¡23 mmol/mol (8.7¡2.1%). The mean capillary glycemia during hospitalization was similar between the groups (9.8¡2.9 and 9.1¡2.4 mmol/l for the Intervention Group and Control Group, respectively, p = 0.078). The number of hypoglycemic episodes (p = 0.77), hyperglycemic episodes (47 vs. 50 in the Intervention Group and Control Group, p = 0.35, respectively), and the length of stay in the hospital were similar between the groups (p = 0.64). The amount of regular insulin administered was 0 (0–10) IU in the Intervention Group and 28 (7–56) IU in the Control Group (p,0.001), and the amount of NPH insulin administered was similar between the groups (p = 0.16). CONCLUSIONS: While guidance on a glycemic control protocol given by a healthcare team resulted in a modification of the therapeutic strategy, no changes in glycemic control, frequency of episodes of hypoglycemia and hyperglycemia, or hospitalization duration were observed.
Contido em Clinics. São Paulo. Vol. 68, n.11 (nov. 2013), p. 1400-1407
Assunto Diabetes mellitus tipo 2
Educação em saúde
Ensaio clínico controlado aleatório
Insulina
[en] Diabetes Mellitus Type 2
[en] Health education
[en] Insulin treatment
[en] Randomized controlled trial
Origem Nacional
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/95144
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