March 9, 2014
Notes: de Micheli, Alfredo
Izaguirre Avila, Raul
Arch Cardiol Mex. 2013 May 13. pii: S1405-9940(13)00040-2. doi: 10.1016/j.acmx.2013.01.016.
Author Address: National Institute of Cardiology Ignacio Chavez, Tlalpan, DF, Mexico. Electronic address: email@example.com.
Reference Type: Journal Article
Record Number: 428Author: de Moraes, M. A., Rodrigues, J., Cremonesi, M., Polanczyk, C. and Schaan, B. D.
Title: Management of diabetes by a healthcare team in a cardiology unit: a randomized controlled trial
Journal: Clinics (Sao Paulo)
Short Title: Management of diabetes by a healthcare team in a cardiology unit: a randomized controlled trial
Alternate Journal: Clinics
ISSN: 1980-5322 (Electronic)
Accession Number: 24270950
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.