The goal of the Twine / University of Michigan Diabetes Quality Improvement Initiative is to improve diabetes care quality using real time feedback with continuous glucose monitoring (CGM) and dietary coaching for lower carbohydrate consumption in a high-risk sub-cohort of outpatients with type 2 diabetes (T2D).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
64
Usual care from Primary Care Physician and dietitian.
The intensive behavioral intervention which will incorporate lower carbohydrate diet, diet coaching, and more intensive glucose monitoring.
Monthly screening of HbA1C to identify patents who have become poorly controlled in the interval.
Chelsea Health Center
Chelsea, Michigan, United States
Hemoglobin A1C
Hemoglobin A1C
Time frame: 1 year
Weight Change
Difference in patient's weight measured in pounds.
Time frame: baseline to 1 year
Change in diabetes medication requirements
Change in average daily doses of diabetes medications
Time frame: baseline to 1 year
Change in percentage of time glucose is out of range
Change in percentage of time glucose is out of range (70 mg/dl-140 mg/dl) on CGM.
Time frame: baseline to 1 year
Blood Pressure
Blood Pressure
Time frame: 1 year
Change in rate of Micro-vascular complications
Change in rate of micro-vascular complications. (The micro-vascular complications assessed will be retinopathy, neuropathy, nephropathy)
Time frame: Baseline to 1 Year
Change in rate of symptomatic hypoglycemia requiring medical intervention
Change in rate of symptomatic hypoglycemia requiring medical intervention
Time frame: Baseline to 1 year
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