This study will evaluate the impact of academic detailing (evidence-based provider education) with or without patient pre-visit preparation (elicitation of values and preferences) on safe insulin de-prescribing among older patients with type 2 diabetes at risk for hypoglycemia. The hypothesis is that patients who are well-prepared for their primary care visit will engage in more informed discussions with their providers regarding re-evaluation of current treatment regimens. In clinically appropriate cases, these more effective discussions will result in safe de-prescribing and fewer future episodes of hypoglycemia.
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Clinical Outcome: Number of Participants With Glycemic Regimen De-prescribing
Timeframe: 6 months after initial primary care visit
Patient-Reported Outcome: Number of Participants With Self-Reported Hypoglycemia
Timeframe: Preceding 6 month period (asked 6 months after initial primary care visit)