A randomized controlled trial to prevent glycemic relapse in longitudinal diabetes care: Study protocol (NCT00362193)

摘要: Background: Diabetes is a common disease with self-management key aspect of care. Large prospective trials have shown that maintaining glycated hemoglobin less than 7% greatly reduces complications but translating this level control into everyday clinical practice can be difficult. Intensive improvement programs are successful in attaining patients type 2 diabetes, however, many experience glycemic relapse once returned to routine This early is, part, due decreased adherence behaviors. Objective: paper describes the design Glycemic Relapse Prevention study. The purpose study determine optimal frequency maintenance intervention needed prevent relapse. primary endpoint relapse, which defined as greater 8% and an increase 1% from baseline. Methods: consists telephonic contact by nurse practitioner referral dietitian if indicated. was designed provide identification self-care problems, understanding rationale behind lapse problem solve find negotiated solution. A total 164 were randomized care (least intensive), phone every three months (moderate intensity) or month (most intensive).