A Study to Improve Diabetes Management Among Adults Experiencing Severe Hypoglycemia

This is an interventional health services research trial for Diabetes Read More

Inclusion Criteria:

• 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:

1. Treated by Mayo Clinic Ambulance for hypoglycemia
2. Treated in Mayo Clinic ED or hospital for hypoglycemia.
3. Patients who self-report experiencing level 3 hypoglycemia. These patients will be identified through: (1) recruitment letters mailed via patient portal or postal mail to patients at risk for hypoglycemia based on validated hypoglycemia risk score (for type 2 diabetes), insulin therapy, or diagnosis of type 1 diabetes, telling them about the study and offering enrollment if they had experienced level 3 (severe) hypoglycemia; (2) dissemination of information about the study to primary care clinicians, endocrinologists, certified diabetes care and education specialists (CDCES), medication therapy management pharmacists, dieticians, and primary care team nurses (who support primary care clinicians with diabetes management) to tell patients about the trial if patients self-report severe hypoglycemia; (3) patients with hypoglycemia-related ambulatory visits or documentation of hypoglycemia on their problem list.

Exclusion Criteria:

• 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.