Study of a Primary Care Hypoglycemia Prevention Program

Pilot Study of a Primary Care Hypoglycemia Prevention Program

This is a single site, pre-post pilot study. The objective is to evaluate the acceptability and feasibility of a primary care hypoglycemia prevention program for patients taking hypoglycemia-causing medications. The study will also evaluate relevant process outcomes and clinical outcomes for refining the intervention and planning for a larger efficacy trial.

Inclusion criteria for patients:

• Age 18 years or older
• Diabetes mellitus by electronic health record review
• Treatment with any of the following medication classes: insulin, sulfonylureas, meglitinides
• Community dwelling (not residing in long-term care or a skilled nursing facility)
• Receiving primary care from a participating primary care provider at Johns Hopkins Internal Medicine at Green Spring Station
• The patient's primary care provider approves their participation

Exclusion criteria for patients:

• Significant cognitive impairment or dementia
• Receiving hospice or end of life care
• Any other serious illness or condition not compatible with participation as determined by the investigators
• Planning to leave area prior to end of study
• Investigator discretion

Exclusion Criteria for continuous glucose monitoring (not required for study participation):

• History of allergic skin reaction to adhesive
• Implantable pacemaker

Inclusion criteria for primary care providers:

• Practicing at Johns Hopkins Internal Medicine Green Spring Station

Exclusion criteria for primary care providers:

• Planning to leave their position prior to end of study
• Not serving as primary care provider for any included patient

Inclusion criteria for clinic staff:

• Participating in check-in at Johns Hopkins Internal Medicine Green Spring Station

Exclusion criteria for clinic staff

• Planning to leave their position prior to end of study