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| Name | Class |
|---|---|
| The Health and Care Committee, Copenhagen City Council | UNKNOWN |
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The aim of the study is to investigate the effect of telemedicine among the group of type-2-diabetics who, despite rehabilitation, remain poorly regulated. To describe the patients with regards to vulnerability and social resources and to determine wich groups benefit the most from telemedicine.
Type-2-diabetes is a growing healthcare problem. Both because of the increasing amount of patients and because of the complications of diabetes.
Non-pharmacological treatment is considered fundamental in the treatment of patients with type-2-diabetes.
In the Community of Copenhagen, all patients diagnosed with diabetes receive rehabilitation. The rehabilitation consists of counseling with regards to nutrition, physical activity, smoking cessation and education about diabetes.
Some patients however, remain poorly regulated despite rehabilitation as well as pharmacological treatment.
A total number of 165 patients will be randomized to intervention group or standard care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Telemedicine | Experimental | Monthly video consultations with a nurse as add-on to standard treatment. |
|
| Standard treatment | No Intervention | Standard diabetes control at a Diabetes Clinic or GP |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telemedicine | Behavioral | Monthly video consultations with a nurse as add-on to standard treatment. The nurse has access to bloodsugar- bloodpressure and weight measurements uploaded by the participants to a tablet computer directly from the devices. Patients on Insulin measure bloodsugar twice a day (fasting and before their evening meal). Patients not on Insulin measure bloodsugar once a week (fasting and before their evening meal). All participants measure bloodpressure and weight once a week. The intervention lasts 32 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in HbA1c | Baseline, 16 weeks, 32 weeks, 6 months after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Fasting total cholesterol, LDL, HDL, triglycerides | Baseline, 32 weeks | |
| Beta-cell function test (HOMA) | Baseline, 32 weeks | |
| Weight |
| Measure | Description | Time Frame |
|---|---|---|
| Number of hospital admissions | 32 weeks | |
| Number of visits at the emergency | 32 weeks | |
| Number of visits at the outpatient department |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Caroline Raun Hansen, MD | Endocrine Section, Bispebjerg Hospital, Bispebjerg Bakke 23, 2400 Copenhagen NV, Denmark | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Endocrine Section, Dept. of Internal Medicine I, Bispebjerg Hospital | Copenhagen | Copenhagen NV | DK-2400 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28325823 | Derived | Hansen CR, Perrild H, Koefoed BG, Zander M. Video consultations as add-on to standard care among patients with type 2 diabetes not responding to standard regimens: a randomized controlled trial. Eur J Endocrinol. 2017 Jun;176(6):727-736. doi: 10.1530/EJE-16-0811. Epub 2017 Mar 21. | |
| 24355450 | Derived | Hansen CR, Perrild H, Koefoed BG, Faurschou P, Host D, Zander M. Effects of telemedicine in the treatment of patients with type 2 diabetes--a study protocol. Dan Med J. 2013 Dec;60(12):A4743. |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D055118 | Medication Adherence |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D017216 | Telemedicine |
| ID | Term |
|---|---|
| D003695 | Delivery of Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |
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|
| Baseline, 32 weeks |
| Bloodpressure | Baseline, 32 weeks |
| Physical activity | Baseline, 32 weeks |
| Change in quality of life | Baseline, 32 weeks |
| Waist circumference | Baseline, 32 weeks |
| Hip circumference | Baseline, 32 weeks |
| Body mass index | Baseline, 32 weeks |
| Use of medication | Baseline, 32 weeks |
| 32 weeks |
| Number of visits at GP | 32-weeks |
| D004700 | Endocrine System Diseases |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |