Management of diabetes by a healthcare team in a cardiology unit : a randomized controlled trial
dc.contributor.author | Moraes, Maria Antonieta P. | pt_BR |
dc.contributor.author | Rodrigues, Juliane Tavares | pt_BR |
dc.contributor.author | Cremonesi, Mariana Barroso | pt_BR |
dc.contributor.author | Polanczyk, Carisi Anne | pt_BR |
dc.contributor.author | Schaan, Beatriz D'Agord | pt_BR |
dc.date.accessioned | 2014-05-13T02:03:52Z | pt_BR |
dc.date.issued | 2013 | pt_BR |
dc.identifier.issn | 1807-5932 | pt_BR |
dc.identifier.uri | http://hdl.handle.net/10183/95144 | pt_BR |
dc.description.abstract | OBJECTIVE: To assess the effectiveness of healthcare team guidance in the implementation of a glycemic control protocol in the non-intensive care unit of a cardiology hospital. METHODS: This was a randomized clinical trial comparing 9 months of intensive guidance by a healthcare team on a protocol for diabetes care (Intervention Group, n = 95) with 9 months of standard care (Control Group, n = 87). Clinicaltrials.gov: NCT01154413. RESULTS: The mean age of the patients was 61.7¡10 years, and the mean glycated hemoglobin level was 71¡23 mmol/mol (8.7¡2.1%). The mean capillary glycemia during hospitalization was similar between the groups (9.8¡2.9 and 9.1¡2.4 mmol/l for the Intervention Group and Control Group, respectively, p = 0.078). The number of hypoglycemic episodes (p = 0.77), hyperglycemic episodes (47 vs. 50 in the Intervention Group and Control Group, p = 0.35, respectively), and the length of stay in the hospital were similar between the groups (p = 0.64). The amount of regular insulin administered was 0 (0–10) IU in the Intervention Group and 28 (7–56) IU in the Control Group (p,0.001), and the amount of NPH insulin administered was similar between the groups (p = 0.16). CONCLUSIONS: While guidance on a glycemic control protocol given by a healthcare team resulted in a modification of the therapeutic strategy, no changes in glycemic control, frequency of episodes of hypoglycemia and hyperglycemia, or hospitalization duration were observed. | en |
dc.format.mimetype | application/pdf | pt_BR |
dc.language.iso | eng | pt_BR |
dc.relation.ispartof | Clinics. São Paulo. Vol. 68, no. 11 (nov. 2013), p. 1400-1407. | pt_BR |
dc.rights | Open Access | en |
dc.subject | Diabetes mellitus tipo 2 | pt_BR |
dc.subject | Diabetes Mellitus Type 2 | en |
dc.subject | Insulin treatment | en |
dc.subject | Insulina | pt_BR |
dc.subject | Randomized controlled trial | en |
dc.subject | Ensaio clínico controlado aleatório | pt_BR |
dc.subject | Educação em saúde | pt_BR |
dc.subject | Health education | en |
dc.title | Management of diabetes by a healthcare team in a cardiology unit : a randomized controlled trial | pt_BR |
dc.type | Artigo de periódico | pt_BR |
dc.identifier.nrb | 000913713 | pt_BR |
dc.type.origin | Nacional | pt_BR |
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