Virtual Diabetes Care for Adults With Type 2 Diabetes on Medicaid and Insulin Therapy

Summary

This 12-month pilot tests a nurse-led, app-based intervention to improve diabetes self-management for Medicaid patients. It includes MyChart messaging to give education, phone help on problem-solving with clinicians, and using a diabetes app to track data. The study aims to enhance self-management behaviors through health technology.

Eligibility

Inclusion Criteria:

* A1C \>7 for age 18-64, A1C\>8 for age 65 or older within 12 months prior baseline
* A1C\>7 for age 18-64, A1c\>8 for age 65 or older at baseline
* Medicaid recipient or dual Medicaid and Medicare recipient
* Age 18 or older
* Type 2 diabetes
* On insulin therapy
* Owning and using Android or iOS smartphone for at least 6 months
* English proficiency
* Adequate vision to read text messages on their current smartphone
* Smartphone use proficiency. Smartphone proficiency will be self-reported and determined by telephone as the ability to use a smartphone in ways other than emailing, texting, and making phone calls.

Exclusion Criteria:

* Pregnancy
* Patients with cognitive impairment who will be screened with the Six-Item Screener to Identify Cognitive Impairment Among Potential Research Subjects.

Conditions2

Locations2 sites

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