Journal article
An exploratory trial of insulin initiation and titration among patients with type 2 diabetes in the primary care setting with retrospective continuous glucose monitoring as an adjunct: INITIATION study protocol
ID Blackberry, JS Furler, LE Ginnivan, H Derraz, A Jenkins, N Cohen, JD Best, D Young, D Liew, G Ward, JA Manski-Nankervis, DN O'Neal
BMC Family Practice | Published : 2014
Abstract
Background: Insulin initiation and titration in primary care is necessary to respond to the growing epidemic of type 2 diabetes (T2D). The INITIATION study aims to evaluate the impact of implementing a new model of care with Primary Care Physician and Practice Nurse (PN) teams supported by a Credentialed Diabetes Educator-Registered Nurse (CDE-RN) and endocrinologist in initiating and titrating basal and prandial insulin for T2D patients in the Australian healthcare system over 24 weeks. This study also explores the feasibility and efficacy of retrospective continuous glucose monitoring (r-CGM) in comparison with self-monitoring of blood glucose (SMBG) among people with T2D in primary care. ..
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Funding Acknowledgements
The INITIATION study was an investigator initiated study. We gratefully acknowledge funding and material support by Australian National Health and Medical Research Council (NHMRC) Centre of Clinical Research Excellence (CCRE) in Diabetes Science, Sanofi and Medtronic. The INITIATION study grant proposal was independently peer-reviewed by the NHMRC CCRE in Diabetes Science, Sanofi and Medtronic. JF is supported by an NHMRC-PHCRED Career Development Fellowship. Abbott donated the blood glucose meters (BGMs) and BD supplied the needle starter packs. Funding sources had no involvement in study design; in data collection, analysis and interpretation; in the writing of the report; and in the decision to publish this protocol. We would like to thank participating primary care practices, patients and research assistants for their support.