Embedded Multidisciplinary Diabetes Clinic for Diabetes
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to improve diabetes care for patients at a specific clinic by offering dedicated support and addressing life factors such as food and housing. It will also provide special training for doctors in training to deliver this care. The trial will compare patients receiving enhanced care at the Embedded Primary Care MultiDisciplinary Diabetes Clinic to those receiving routine care at a different clinic. Patients with diabetes and an HbA1c level over 9% (a measure of blood sugar control) who are not seeing a diabetes specialist might be a good fit. As an unphased trial, this study offers a unique opportunity to receive comprehensive care and support tailored to individual needs.
Do I need to stop my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this embedded clinic is safe for diabetes management?
Research has shown that clinics with teams of diverse healthcare specialists are generally safe and well-received by people with diabetes. One study demonstrated that a similar clinic setup helped patients improve their blood sugar levels without major safety issues. This method involves a team of healthcare providers collaborating to manage diabetes more effectively.
Studies have not reported significant harmful effects, suggesting that this treatment is safe for most people. These clinics aim to improve overall health by also focusing on related areas like diet, exercise, and mental well-being. This comprehensive care is designed to help people with diabetes without causing harm.12345Why are researchers excited about this trial?
Researchers are excited about the Embedded Multidisciplinary Diabetes Clinic because it offers a fresh approach by integrating various healthcare specialists directly into primary care settings. Unlike traditional diabetes management, which often involves patients visiting separate specialists, this model allows for a more coordinated and personalized care experience. This integration can lead to more consistent monitoring and tailored treatment plans, potentially improving outcomes for patients with high HbA1c levels who aren't already seeing a diabetes specialist. By embedding these services, the approach aims to streamline healthcare delivery and enhance patient engagement.
What evidence suggests that this embedded clinic is effective for diabetes management?
Research has shown that a diabetes clinic with a team of specialists can greatly improve diabetes management. In this trial, participants in the "Embedded clinic at Midtown" arm will experience this multidisciplinary approach. Studies have found that these clinics help lower HbA1c levels, an important measure of blood sugar control. For instance, one study found that patients adhered better to their medications and faced fewer heart-related health risks. Another study demonstrated that these clinics improve both health outcomes and lifestyle habits, such as eating well and exercising. Over ten years, the success of these clinics has been proven using a chronic care model, which focuses on comprehensive disease management. This approach helps patients manage not only their diabetes but also related issues like access to food and housing.16789
Who Is on the Research Team?
Britt A Marshall, MD
Principal Investigator
Emory University
Are You a Good Fit for This Trial?
This trial is for adults over 18 with poorly controlled Type 2 Diabetes (HbA1c >=9%) who are patients at Midtown Diabetes Clinic and can consent to participate. It's not for pregnant individuals, those not planning to continue care at Midtown, or anyone already seeing a specialist in endocrinology.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive multidisciplinary diabetes management and continuous glucose monitoring
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Embedded Primary Care MultiDisciplinary Diabetes Clinic
Trial Overview
The study tests an 'Embedded Clinic' model versus routine care. The clinic provides specialized diabetes management on certain days, addressing factors like food and housing security, diet education, exercise opportunities, and mental health alongside training medical residents.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
The control population will be drawn using electronic health record data of diabetes patients at Dunwoody Family Medicine Clinic. Information from the Electronic Health Record will be de-identified after extraction. Control participants will be frequency matched.
Using the Emory Clinical Data Warehouse (CDW), all patients of Emory Primary Care Midtown with HbA1c \>9% who are not currently under the care of an endocrinologist or the diabetes management program at Emory will be invited to participate in this embedded DM management clinic.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Emory University
Lead Sponsor
Georgia Center for Diabetes Translation Research
Collaborator
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborator
American Diabetes Association
Collaborator
Citations
A Multidisciplinary Diabetes Clinic Improves Clinical and ...
The study objective was to evaluate effects of a multidisciplinary approach on behavioral outcomes and mean change in A1c in immediate start (intervention) ...
A Multidisciplinary Diabetes Clinic Improves Clinical and ...
A Multidisciplinary Diabetes Clinic Improves Clinical and Behavioral Outcomes in a Primary Care Setting · Article · Figures & Data · References · Info & ...
An Effectiveness Study of a Primary Care-embedded ...
Consequently, the medication adherence rate for patients with diabetes and Medicaid coverage has been found to range anywhere from 36% to 67%. Using Behavioral ...
The effects of multidisciplinary collaborative care on ...
Multidisciplinary collaborative care is associated with reduced cardiovascular risk factors among patients with diabetes in primary care.
5.
diabetesjournals.org
diabetesjournals.org/care/article/45/12/2871/147443/Ten-Year-Effectiveness-of-the-MultidisciplinaryTen-Year Effectiveness of the Multidisciplinary Risk ...
Multiple randomized clinical trials have demonstrated the effectiveness of disease management programs that used the chronic care model with ...
A Multidisciplinary Diabetes Clinic Improves ...
For the delayed intervention group, mean A1c values decreased from 10.2 at baseline to 9.0 after 6 months. Conclusions: Use of a ...
Effect of multidisciplinary intensive targeted care in improving ...
Intensive diabetes mellitus care with patient empowerment may lead to sustained glycemic control, reduction of clinical complications and progression of ...
8.
diabetesjournals.org
diabetesjournals.org/care/article/46/10/1750/153612/Pragmatic-Evidence-for-Theory-Based-Innovations-inPragmatic Evidence for Theory-Based Innovations in Diabetes ...
The next step to improving diabetes care in PC is building an evidence base of real-world examples with use of specific PC management processes ...
Impact of diabetes education teams in primary care on ...
Onsite education teams in primary care settings can potentially improve diabetes management as shown in two process of care indicators: medical visits and foot ...
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