From: A cluster randomised controlled trial of educational prompts in diabetes care: study protocol
Study phase | Type and attachment of message | Content of message |
---|---|---|
Phase One | Unconditional; attached to all cholesterol reports | For type 2 diabetes &age ≥ 40 yrs: on simvastatin 40 mg? See [local guideline] for detail and exclusions |
 | Conditional; attached to all HbA1c reports | If HbA1c < 6.5% |
 |  | "Within target for type 2 diabetes" |
 |  | If HbA1c 6.5 – 7.0% |
 |  | "For type 2 diabetes, consider increasing oral therapy" |
 |  | If HbA1c 7.0–8.0% |
 |  | "If type 2 diabetes: on max oral therapy, e.g., Metformin 1G BD + gliclazide 160 mg BD?" |
 |  | If HbA1c > 8.0% |
 |  | "If type 2 diabetes, consider insulin if on max oral Rx, e.g., Metformin 1G BD + gliclazide 160 mg BD" |
Phase Two | Unconditional; attached to all albumin: creatinine ratio (ACR) test reports | Newcastle Diabetes Guideline Footcare: all patients annual review of sensation, pulses, footwear education |
 | Conditional; attached to all ACR test reports | If ACR above 2.5 |
 |  | If confirmed microalbuminuria: aim for BP < 130/80 in type 2 diabetes |
 |  | If ACR below 2.5 |
 |  | If no microalbuminuria: aim for BP control < 140/80 in type 2 diabetes |