Diabetes Mellitus Community Based Screening in Minority Populations

Study Overview
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Brief Summary
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The purpose of the type II diabetes (T2D) screening study is to improve diabetes care in minority communities by identifying undiagnosed and uncontrolled T2D patients, as well as help patients without a regular primary care physician (PCP) find one within their community. These goals will be achieved first through a glucose measurement. Individuals with a high glucose measurement will be confirmed with a rapid hemoglobin A1c (HgA1c) test. The HgA1c test will tell us about the patients average blood sugar over the past 3 months, which will allow us to immediately diagnose new and uncontrolled type II diabetics. All participants will fill out a survey on healthcare seeking behaviors before glucose testing. All patients who enter the study will receive education on T2D and the value of regularly visiting their PCP, and will be provided a list of PCP currently accepting new patients within a 3 mile radius. Follow-up visits at 4 and 8 months will help us determine the success this community based screening. The investigators hypothesis is that community based screening designed with adequate education and follow-up, and performed by qualified medical professionals will improve diabetes care in minority communities as assessed through hemoglobin A1c levels over 8 months, and in the change in the number patients who visit/obtain their PCP within the study period.

Official Title
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Diabetes Mellitus Community Based Screening in Minority Populations

Conditions
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Type II Diabetes, Diabetes Mellitus

Intervention / Treatment
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* Behavioral: Education on risk factors for Type II Diabetes
* Behavioral: Education on Type II Diabetes
* Behavioral: Education on regular visits to a Primary Care Provider


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults 18 and older Exclusion Criteria: Type I Diabetes. Women who are currently pregnant.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Uncontrolled Diabetic<br>Individuals who were previously diagnosed with Type II Diabetes, but have a HgA1C greater than 7.0% | Behavioral: Education on risk factors for Type II Diabetes<br>* one-on-one education provided by a nurse practitioner or physician<br>* Other names: educational intervention;Behavioral: Education on Type II Diabetes<br>* one-on-one education about having Type II Diabetes, the possible complications and treatment options provided by a physician.<br>* Other names: educational intervention;Behavioral: Education on regular visits to a Primary Care Provider<br>* one-on-one education about the importance of visiting a primary care provider (PCP) on a regular basis. Patients are also provided a list of PCP's accepting new patients within a 3 mile radius.<br>* Other names: educational intervention;|
| Newly diagnosed Type II Diabetic<br>Individuals who have never been diagnosed with Type II Diabetes, but have an HgA1c greater than 7.0% | Behavioral: Education on risk factors for Type II Diabetes<br>* one-on-one education provided by a nurse practitioner or physician<br>* Other names: educational intervention;Behavioral: Education on Type II Diabetes<br>* one-on-one education about having Type II Diabetes, the possible complications and treatment options provided by a physician.<br>* Other names: educational intervention;Behavioral: Education on regular visits to a Primary Care Provider<br>* one-on-one education about the importance of visiting a primary care provider (PCP) on a regular basis. Patients are also provided a list of PCP's accepting new patients within a 3 mile radius.<br>* Other names: educational intervention;|
| Newly diagnosised pre-diabetics<br>Individuals who have never been diagnosed with Type II Diabetes, but have a HgA1C of 6.0%-6.9% | Behavioral: Education on risk factors for Type II Diabetes<br>* one-on-one education provided by a nurse practitioner or physician<br>* Other names: educational intervention;Behavioral: Education on Type II Diabetes<br>* one-on-one education about having Type II Diabetes, the possible complications and treatment options provided by a physician.<br>* Other names: educational intervention;Behavioral: Education on regular visits to a Primary Care Provider<br>* one-on-one education about the importance of visiting a primary care provider (PCP) on a regular basis. Patients are also provided a list of PCP's accepting new patients within a 3 mile radius.<br>* Other names: educational intervention;|
| Controlled<br>Diabetic or non-diabetic individuals with RPCG of less than 130 mg/dl. | Behavioral: Education on risk factors for Type II Diabetes<br>* one-on-one education provided by a nurse practitioner or physician<br>* Other names: educational intervention;Behavioral: Education on regular visits to a Primary Care Provider<br>* one-on-one education about the importance of visiting a primary care provider (PCP) on a regular basis. Patients are also provided a list of PCP's accepting new patients within a 3 mile radius.<br>* Other names: educational intervention;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Type II Diabetes, Minorities, Diabetes Mellitus, Community based screening