Strategies to Maintain Cardiac Risk Control After Discharge From Cardiovascular Risk Reduction Clinic

Effectiveness of Different Strategies in Maintaining Target Goals of Cardiovascular Risk Factors in Patients Discharged From Cardiovascular Risk Reduction Clinic

The purpose of this study is to determine whether a combined behavioral and pharmacological intervention provided by a multidisciplinary team will further reduce LDL-C, smoking, BP and Hb-A1C in diabetic patients with A1c between 7% and 9% when compared to usual care.

Inclusion Criteria:

• Previous enrollment in Cardiovascular Risk Reduction Clinic (CRRC)

• Eligible for CRRC discharge:

  1. For DM patients:

     • HbA1c < 7.0 %,
     • BP < 130/85 mm Hg , and
     • LDL < 100 mg/dl;

  2. For Non-DM patients:

     • BP < 140/90 mm Hg, and
     • LDL < 100 mg/dl;

• Able and willing to sign informed consent.

Exclusion Criteria:

• Presence of conditions that might limit long-term compliance (eg, dementia, acute psychiatric decompensation within the previous 6 months, unstable psychiatric disorder);
• Metastatic disease or terminal illness