Reducing Treatment Risk in Older Adults With Diabetes
Completed · Not applicable
Conditions studied: Type 2 Diabetes Treated With Insulin, Hypoglycemia, Primary Health Care, Polypharmacy
In brief
This study will evaluate the impact of academic detailing (evidence-based provider education) with or without patient pre-visit preparation (elicitation of values and preferences) on safe insulin de-prescribing among older patients with type 2 diabetes at risk for hypoglycemia. The hypothesis is that patients who are well-prepared for their primary care visit will engage in more informed discussions with their providers regarding re-evaluation of current treatment regimens. In clinically appropriate cases, these more effective discussions will result in safe de-prescribing and fewer future episodes of hypoglycemia.
Key facts
- Study ID
- NCT04585191
- Run by
- Kaiser Permanente
- People needed
- 450
- Starts
- 2020-11-02
- Expected to finish
- 2024-09-01
- Last updated by the study team
- 2025-03-21
Who can join
Age: 75 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- age ≥ 75 years
- type 2 diabetes with last measured Hemoglobin A1c (HbA1c) ≤ 8.0%
- currently prescribed insulin and/or sulfonylureas (SUs)
- Kaiser Permanente Northern California member
You may not qualify if…
- Given the requirements of this funding mechanism, we will not be able to develop new patient materials in languages other than English, and patients unable to communicate in English will be excluded.
- Similarly, patients unable to provide informed consent and/or participate in informed decision making due to cognitive or communication-related deficits will be excluded.
- Excluded by their primary care provider
Where it is running
- Kaiser Permanente South San Francisco — San Francisco, California, United States
- Kaiser Permanente Northern California — San Leandro, California, United States
- Kaiser Permanente Union City — Union City, California, United States
- Kaiser Permanente Vallejo — Vallejo, California, United States
Full record on ClinicalTrials.gov
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