Glycemic And Blood Pressure Control In Type 2 Diabetes, In A Primary Care Unit: A Staged Management Strategy

NCT ID: NCT00935805

Last Updated: 2011-10-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

124 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-07-31

Study Completion Date

2012-07-31

Brief Summary

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The aim of this study is to to analyze if it is possible to reach the goals of HbA1c \<7.0% and blood pressure \<= 130/80 mm Hg in a cohort of patients with type 2 diabetes attending a primary care unit, using ony those resources available at the unit, and provided by the Brazilian National Health System. It is an open label, observational study, with a duration of 4-6 years. Patients attending a primary care outpatient facility will be sequentially included in the study provided they give consent. They will be followed on a monthly basis by a team of physicians and nurses. Glucose, A1c, Blood PRessure will be the outcomes.

Detailed Description

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Conditions

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Diabetes Mellitus Arterial Hypertension

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Treatment

124 patients attending the primary care unit included after formal consent.

Metformin

Intervention Type DRUG

850 mg TID

Glybenclamide

Intervention Type DRUG

10 mg BID

NPH insulin

Intervention Type DRUG

Variable SC dose

Hydrochlorothiazide

Intervention Type DRUG

25 mg QD introduced as initial therapy for hypertension

Propranolol

Intervention Type DRUG

40 mg BID

Captopril

Intervention Type DRUG

50 mg TID

Amlodipine

Intervention Type DRUG

10 mg QD

Interventions

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Metformin

850 mg TID

Intervention Type DRUG

Glybenclamide

10 mg BID

Intervention Type DRUG

NPH insulin

Variable SC dose

Intervention Type DRUG

Hydrochlorothiazide

25 mg QD introduced as initial therapy for hypertension

Intervention Type DRUG

Propranolol

40 mg BID

Intervention Type DRUG

Captopril

50 mg TID

Intervention Type DRUG

Amlodipine

10 mg QD

Intervention Type DRUG

Other Intervention Names

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Initial drug added to non-pharmacological measures Second oral agent to be added Insulin added to or substituted for OA Inital RX for hypertension Introduced if diuretic + captopril do not control BP Added to hydrochlorothiazide if BP not attained Added to previous if BP control BP not satisfactory

Eligibility Criteria

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Inclusion Criteria

* Type 2 diabetes mellitus (WHO)

Exclusion Criteria

* Terminal disease (renal, cancer, heart failure)
Minimum Eligible Age

30 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Conselho Nacional de Desenvolvimento Científico e Tecnológico

OTHER_GOV

Sponsor Role collaborator

Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul, Brazil

OTHER

Sponsor Role collaborator

Hospital de Clinicas de Porto Alegre

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rogerio Friedman, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital de Clinicas de Porto Alegre

Jorge L Gross, MD, PhD

Role: STUDY_CHAIR

Hospital de Clinicas de Porto Alegre

Locations

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Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Countries

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Brazil

Other Identifiers

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06260

Identifier Type: -

Identifier Source: org_study_id