title: Management of diabetes by a healthcare team in a cardiology unit: a randomized controlled trial.
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.
authors.affiliation: Clinical Research Center, Instituto de Cardiologia, Fundação Universitária de Cardiologia, Porto AlegreRS, Brazil.
authors.forename: Maria Antonieta P de
authors.initials: MA
authors.lastname: Moraes
authors.forename: Juliane
authors.initials: J
authors.lastname: Rodrigues
authors.forename: Mariana
authors.initials: M
authors.lastname: Cremonesi
authors.forename: Carisi
authors.initials: C
authors.lastname: Polanczyk
authors.forename: Beatriz D
authors.initials: BD
authors.lastname: Schaan
mesh_terms: D000368:Aged; D001786:Blood Glucose / Q000032:analysis / Q000187:drug effects; D002196:Capillaries; D016507:Cardiology Service, Hospital; D002985:Clinical Protocols; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007297:Inpatients; D007328:Insulin / Q000627:therapeutic use*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin