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The purpose of this study is to determine whether an electronic order template for basal-bolus insulin will improve mean blood glucose in hospitalized general medical patients with poorly controlled type 2 diabetes.
The study randomly assigned internal medicine residents to use an electronic insulin order template plus basal-bolus ordering education versus education only. For all patients with uncontrolled type 2 diabetes treated by these physicians, mean blood glucose, rate of hypoglycemia, and rate of sliding scale insulin use were measured.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ordering template and education | Active Comparator | Internal medical residents who were asked to use the insulin order template and received education about basal-bolus insulin ordering. |
|
| Education | Active Comparator | Internal medical residents who received education about basal-bolus insulin ordering. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diabetes Management | Other | Using electronic insulin order template for basal-bolus insulin and education |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean blood Glucose | 6 days |
| Measure | Description | Time Frame |
|---|---|---|
| rates of glucose values less than 60 mg/dl or less than 40 mg/dl | 6 days | |
| rate of use of sliding scale insulin | 6 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Enrico Cagliero, M.D. | Massachusetts General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| D004700 | Endocrine System Diseases |