Effect of Care Management on Diabetes Outcomes

Effect of Care Management on Diabetes Outcomes

The purpose of the study is to determine if a nurse managed, protocol driven, disease management process for diabetes results in improved attainment of therapeutic goals for diabetes compared to usual care. It is hypothesized that implementation of the disease management process will improve the percentage of diabetic individuals attaining all three therapeutic targets (HgbA1C<8.0%, LDL<100mg/dl, and BP<130/80mmHG) by 10% compared to usual care.

Inclusion Criteria:

• Enrolled at Minneapolis VAMC
• Type 1 or 2 diabetes
• Blood pressure at screening visit > 140mmHg systolic or > 90mmHg diastolic OR HgbA1C at screening visit > 9.0% OR LDL at screening visit > 100mg/dL

Exclusion Criteria:

• Primary care provider unwilling to have participant included in study
• Life expectancy < 1 year
• Unable to give consent
• Severe mental health condition
• pregnant or planning on becoming pregnant