Evaluation of a Prototype Diabetes Management System Applied to Insulin Initiation and Titration

NCT ID: NCT01698528

Last Updated: 2018-10-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2015-10-31

Brief Summary

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The purpose of this study is to determine if using a diabetes management technology system, including a tablet computer, to track diabetes care and communicate with a clinician coach (a doctor or nurse from the Joslin Clinic) makes starting and adjusting insulin easier and safer for people with type 2 diabetes. Hypothesis: The use of a diabetes management technology system with a clinician coach helps more individuals starting basal insulin achieve better glycemic control with less hypoglycemia compared with standard clinical practice at Joslin Diabetes Center.

Detailed Description

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Conditions

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Type II Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Intervention Group

The experimental arm will be provided with a tablet computer with a newly designed software to help manage his or her diabetes care. This arm will communicate with his or her provider through the tablet computer to initiate and titrate basal insulin dose based on the 303 protocol. The individuals in this arm will also track their glucose values and medication adherence using the tablet computer by documenting when medication was taken or insulin was injected.

Group Type EXPERIMENTAL

Tablet Computer

Intervention Type DEVICE

Control Group

The individuals in the control group will receive usual care from the study Clinic as they always have. These individuals will be tracking their diabetes in the same way they have been by communicating with their health care provider and his or her office via fax/phone/e-mail. These individuals will not be provided with a tablet computer.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Tablet Computer

Intervention Type DEVICE

Other Intervention Names

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Toshiba tablet computer

Eligibility Criteria

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Inclusion Criteria

* 18 years or older
* Has type 2 diabetes, starting on basal insulin therapy
* Hemoglobin A1c between 9-14%
* Has Wi-Fi internet connection at home
* Is willing to monitor blood glucose at least once per day
* Is willing to inject and self-titrate insulin dose
* Able to read and communicate in English proficiently

Exclusion:

* Has severe visual impairment impacting visual acuity
* Has severe hearing impairment impacting communication
* Has Type 1 diabetes
* Pregnant or lactating women
* Alcohol dependency
* Require multiple daily insulin injections
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Massachusetts Institute of Technology

OTHER

Sponsor Role collaborator

Joslin Diabetes Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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William Hsu, M.D.

Role: PRINCIPAL_INVESTIGATOR

Joslin Diabetes Center

Locations

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Joslin Diabetes Center

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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CHS 2012-18

Identifier Type: -

Identifier Source: org_study_id

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