Virtual Diabetes Care for Adults With Type 2 Diabetes on Medicaid and Insulin Therapy
Nurse-led App Intervention to Improve Glycemic Control in Patients With Insulin-treated Type 2 Diabetes on Medicaid
Rutgers, The State University of New Jersey
60 participants
Apr 1, 2026
INTERVENTIONAL
Conditions
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 Criteria10
- 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 Criteria2
- Pregnancy
- Patients with cognitive impairment who will be screened with the Six-Item Screener to Identify Cognitive Impairment Among Potential Research Subjects.
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Interventions
A nurse-led, app-based behavioral intervention consisting of (1) education via MyChart messaging, (2) problem solving with an action plan via phone, and (3) remote patient monitoring via mySugr app to identify the need to adjust treatment
Locations(2)
View Full Details on ClinicalTrials.gov
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NCT06814184