Syringes Replacement for Insulin Application for Pens Device in a Population of Elderly Patients With Type 2 Diabetes: Multifactorial Intervention to Improve Glycemic Control

Syringes Replacement for Insulin Application for Pens Device in a Population of Elderly Patients With Type 2 Diabetes: Multifactorial Intervention to Improve Glycemic controlCONTROL

This is a prospective, intervention, randomized, phase IV study. Patients will be included with 60 years or older, both sexes, with HbA1c >8.5% using oral antidiabetics agents and insulin and then we will be randomized by use syringe or pens device to use insulin NPH and regular. All patients will receive a blood glucose monitor, lancet tapes, capillary blood glucose tests (3 tests/day). HbA1c will be measured at baseline, 3 and 6 months. Patients will see monthly.

Inclusion Criteria:

• Sixty years or older
• Diabetes type 2 with Glycated Hemoglobin higher than 8.5%
• Using or necessity to use insulin
• Using syringe to insulin
• Using at least one oral antidiabetic
• Accept to participate

Exclusion Criteria:

• Glomerular Filtration Rate lower than 30
• Considering unfit for self administration of insulin