Overview
The present study aims to compare the effects on glycated hemoglobin (HbA1c) at 3 months of two care models in patients with type 2 diabetes referred due to poor glycemic control: a day hospital endocrinology care model versus a care model centered on follow-up by a dietitian-nutritionist.
Eligibility
Inclusion Criteria:
- Patients with a diagnosis of type 2 diabetes (T2DM) referred to endocrinology due to poor metabolic control.
- Patients on insulin therapy
Exclusion Criteria:
- Referred from primary care for other reasons such as hypoglycemia.
- Patients with other types of diabetes mellitus or with uncertainty in diagnostic classification.
- Patients on rapid-acting insulin bolus therapy.
- Patients with acute decompensation of diabetes.
- Patients receiving corticosteroid treatment.
- Dependent individuals for activities of daily living (ADL) with a Barthel index score below 60 or with cognitive impairment.
- Language barrier.