Optimizing diabetes control in people with Type 2 diabetes through nurse‐led telecoaching

• DOI: 10.1111/dme.13092
• Publication Date: 2016-02-12T15:37:20Z
• Authors: I. Odnoletkova; G. Goderis; F. Nobels; S. Fieuws; B. Aertgeerts; L. Annemans; D. Ramaekers
• Keywords: Subgroup analysis; Guideline

To study the effect of a target-driven telecoaching intervention on HbA1c and other modifiable risk factors in people with Type 2 diabetes.We conducted randomized controlled trial patients receiving hypoglycaemic agents. The primary outcome was level at 6 months entire sample subgroup levels ≥ 53 mmol/mol (7%) baseline. Secondary outcomes were 18 months; total cholesterol, LDL, HDL, triglycerides, blood pressure, BMI proportion who had achieved guideline-recommended targets months.A 287 participants to usual care. mean (sd) baseline (11) [7.0 (1.0)%] overall 63 (10) [7.9 (0.9)%] elevated subgroup. At months, between-group differences favour were: -2 (95% CI -4; -1) [-0.2 -0.3;-0.1)%; P=0.003] -4 -7; -2) [-0.4 -0.7; -0.2)%; P=0.001] subgroup; -0.4 kg/m(2) -0.6; -0.1; P=0.003); cholesterol -6 mg/dl -11; -1, P=0.012). target for composite , LDL pressure increased by 8.9% group decreased 1.3% control (P=0.011). difference was: -3;-0) -0.3; -0.0)%; P=0.046] (-7; -0.1)%; P=0.023] subgroup.Nurse-led improved glycaemic control, diabetes. Twelve after completion, there sustained improvements control.