A Study to Improve Diabetes Management Among Adults Experiencing Severe Hypoglycemia

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Conditions studied: Diabetes, Hypoglycemia, Diabetes Type 1, Diabetes Type 2

In brief

This pilot study will assess the feasibility, preliminary efficacy, and acceptability of the Diabetes-REM (Rescue, Engagement, and Management), a comprehensive patient-centered intervention delivered by community paramedics in the community setting to improve diabetes self-management, prevent recurrent hypoglycemia, reduce diabetes distress, and improve quality of life among adults in southeast Minnesota who have experienced severe hypoglycemia.

Key facts

Study ID

NCT04874532

Run by

Mayo Clinic

People needed

150

Starts

2021-06-04

Expected to finish

2026-12-31

Last updated by the study team

2026-04-09

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Adults 18 years of age or older.
• Experience of level 3 hypoglycemia
• Type 1 or type 2 diabetes.
• Paneled to a Mayo Clinic or Mayo Clinic Health System practice.
• Able to provide informed consent.
• Community-dwelling in either Freeborn, Mower, Olmsted, Steele, or Wabasha county.
• Identifying patients who experienced level 3 hypoglycemia:
• Treated by Mayo Clinic Ambulance for hypoglycemia
• Treated in Mayo Clinic ED or hospital for hypoglycemia.
• Patients who have a diagnosis of hypoglycemia on their electronic health record problem list.
• Patients who experienced level 3 hypoglycemia and are referred to the community paramedic service by their healthcare provider.

You may not qualify if…

• Under 18 years of age.
• Cognitive impairment precluding informed consent.
• Lack of conversational English skills.
• Residency in a long-term care facility.
• Enrolled in hospice.
• Enrolled in a care coordination or disease management program.
• Advanced or terminal illness.

Where it is running

• Mayo Clinic in Rochester — Rochester, Minnesota, United States

Full record on ClinicalTrials.gov

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