Diabetes Risk Evaluation and Management Tele-monitoring Study (DREAM-Tel)
DREAM-Tel
1 other identifier
interventional
40
1 country
2
Brief Summary
The purpose behind the proposed research is that diabetes care in First Nations people can be improved by involvement of a Home Care team providing diabetes education and management, supported by emerging technology, specifically Bluetooth-enabled glucometers and blood pressure monitors, capable of transmitting their data to a web environment in tabulated and graphical format available for remote viewing.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1 hypertension
Started Nov 2006
Typical duration for phase_1 hypertension
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 12, 2006
CompletedFirst Posted
Study publicly available on registry
May 15, 2006
CompletedStudy Start
First participant enrolled
November 1, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2008
CompletedMay 23, 2012
May 1, 2012
1.1 years
May 12, 2006
May 21, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
A1c
Change of A1c over 1 year
1 year
Interventions
blood glucose information provided to health care providers
Eligibility Criteria
You may qualify if:
- Type 2 Diabetes with baseline A1c \> 8.0 % on diet or medical therapy with no history of diabetic ketoacidosis.
- Patients must be greater than or equal to 18 years of age.
- Written informed consent must be obtained prior to admission to this study.
You may not qualify if:
- Hypoglycemic therapy and A1c\<8.0%
- New York Heart Association Stage III-IV congestive heart failure. This will eliminate approximately 2% of people with diabetes based on the Strong Heart Study Data.
- Suspected secondary hypertension due to any cause (e.g. pheochromocytoma,coarction of the aorta or renal insufficiency.)
- Unstable angina, myocardial infarction, or revascularization within the last 3 months.
- Angioedema.
- Cerebrovascular event, including stroke or transient ischemic attack, within the last six months.
- Creatinine \>250 umol/L
- Cerebral Vascular event, including strike or transient ischemic attack, within the last six months.
- Connective tissue disorders (e.g.lupus, rheumatoid arthritis)
- Active hepatic disease as indicated by AST and ALT \>2X the upper limit of normal; serum bilirubin \>1.5X upper limit of normal, or serum albumin \<3.0 gm/dl.
- Severe systemic or malignant disease(which could reasonably be expected to be fatal or life-threatening during the course of the study.)
- Pregnancy. It is expected that some women will want to exit the study to become pregnant (5% of female enrollees).
- Factors suggesting low likelihood of compliance with the protocol (e.g current alcohol abuse, history of unreliability in keeping appointments or taking medications.
- Any medical condition that study physicians believe would interfere with study participation or evaluation of results.
- Mental incapacity and/or cognitive impairment on the part of the patient that would preclude adequate understanding of, or cooperation with, the study protocol.
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sunnybrook Health Sciences Centrelead
- Battlefords Tribal Council Indian Health Servicescollaborator
- SaskTelcollaborator
Study Sites (2)
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5, Canada
Battleford Tribal Council Indian Health Services
North Battleford, Saskatchewan, S9A 0V0, Canada
Related Publications (1)
Tobe SW, Wentworth J, Ironstand L, Hartman S, Hoppe J, Whiting J, Kennedy J, McAllister C, Kiss A, Perkins N, Vincent L, Pylypchuk G, Lewanczuk RZ. DreamTel; Diabetes risk evaluation and management tele-monitoring study protocol. BMC Endocr Disord. 2009 May 9;9:13. doi: 10.1186/1472-6823-9-13.
PMID: 19426530DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sheldon W Tobe, MD, FRCPC
Sunnybrook Health Sciences Centre
- PRINCIPAL INVESTIGATOR
George Pylypchuk, MD, FRCP(C)
University of Saskatchewan
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor of Medicine, University of Toronto
Study Record Dates
First Submitted
May 12, 2006
First Posted
May 15, 2006
Study Start
November 1, 2006
Primary Completion
December 1, 2007
Study Completion
April 1, 2008
Last Updated
May 23, 2012
Record last verified: 2012-05