Open Access Study protocol

DreamTel; Diabetes risk evaluation and management tele-monitoring study protocol

Sheldon W Tobe1*†, Joan Wentworth2†, Laurie Ironstand2†, Susan Hartman2†, Jackie Hoppe2†, Judi Whiting3†, Janice Kennedy2†, Colin McAllister4†, Alex Kiss5†, Nancy Perkins1†, Lloyd Vincent1†, George Pylypchuk6† and Richard Z Lewanczuk7†

1 Division of Nephrology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada

2 Battelford Tribal Council Health Services Inc. North Battleford, Saskatchewan, Canada

3 LiveWell Diabetes Program at Muskeg Lake, Saskatchewan, Canada

4 Perspect Management Consulting, Regina, Saskatchewan, Canada

5 Division of Statistical Design and Analysis, Institute of Clinical Evaluative Sciences, Toronto, Canada

6 Division of Nephrology, St Paul's Hospital, University of Saskatoon, Saskatoon, Canada

7 Division of Endocrinology and Metabolism, University of Alberta, Alberta, Canada

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BMC Endocrine Disorders 2009, 9:13 doi:10.1186/1472-6823-9-13

Published: 9 May 2009

Additional files

Additional File 1:

DREAMTEL – Drug Algorithm for Intensification of Diabetes Management. The protocols for intensifying diabetes management broken into 6 stages to allow each stage to stand alone as a standing order set. Stage 1: Introduction of metformin. Stage 2: Introduce: Gliclazide (Insulin Secretogogue – Sulfonylurea (SU)) and titrate OR Repaglinide (Gluconorm) and titrate. Stage 3: Insulin Sensitizer – Actos (Pioglitazone), Thiazolidinediones (TZD). Stage 4: Start hs long acting insulin. Stage 5: Adding a second dose of basal insulin. Stage 6: Converting Split Dose Basal Insulin to Multiple Doses of Rapid Acting with NPH late evening. Guide for using oral medications for diabetes intensification using the stage protocol for people not on insulin.

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Additional File 2:

DreamTel Statistical Plans for Subsequent Study. Statistical plan for subsequent research.

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Additional File 3:

Battlefords Tribal Council Health Services Ethical Guidelines for Research Purpose. A statement outlining the principles of conducting clinical research with Fist Nations people of the Battlefords Tribal Council.

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