This is a prospective, intervention, randomized, phase IV study. Patients will be included with 60 years or older, both sexes, with HbA1c \>8.5% using oral antidiabetics agents and insulin and then we will be randomized by use syringe or pens device to use insulin NPH and regular. All patients will receive a blood glucose monitor, lancet tapes, capillary blood glucose tests (3 tests/day). HbA1c will be measured at baseline, 3 and 6 months. Patients will see monthly.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
112
Rafael Vaz Machry
Porto Alegre, Rio Grande do Sul, Brazil
RECRUITINGGlycated Hemoglobin
reduction compared to baseline values
Time frame: reduction compared to baseline values at six months
Blood Pressure
Monthly measurements are made
Time frame: reduction compared to baseline values at six months
adherence
Monthly measurements are made
Time frame: reduction compared to baseline values at six months
Number of pills, antidiabetics drugs and antihypertensives drugs
Monthly measurements are made
Time frame: reduction compared to baseline values at six months
Number of hypoglycemias
Monthly measurements are made
Time frame: reduction compared to baseline values at six months
Presence of severe hypoglycemias
Monthly measurements are made
Time frame: reduction of the number of patients with this outcome compared to baseline values at six months
Presence of nocturnal hypoglycemias
Monthly measurements are made
Time frame: reduction of the number of patients with this outcome compared to baseline values at six months
Presence of asyntomatic hypoglycemias
Monthly measurements are made
Time frame: reduction of the number of patients with this outcome compared to baseline values at six months
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