Ensayos clínicos

Inclusion Criteria - Aim 1:

• Adults 18 years of age or older.
• Mayo Clinic Ambulance Service (MCAS) encounter for level 2 hypoglycemia (blood glucose < 54 mg/dL) or level 3 hypoglycemia (any glucose level associated with altered mental status and/or physical functioning assistance from another person for recovery) treated with glucose, dextrose (D10W, D25W, D50W), or glucagon.
• Type 1 or type 2 diabetes.
• Paneled to a Mayo Clinic or Mayo Clinic Health System practice.
• Able to provide informed consent.
• Community-dwelling in either Freeborn, Mower, Olmsted, Steele, or Wabasha county.

Exclusion Criteria:

• Under 18 years of age.
• Cognitive impairment precluding informed consent.
• Lack of conversational English skills.
• Residency in a long-term care facility.
• Enrolled in hospice.
• Enrolled in a care coordination or disease management program.
• Advanced or terminal illness.

Inclusion Criteria - Aim 2:

• Participants who were randomized to and completed the D-REM intervention will be purposefully sampled to represent a priori defined differing demographic, clinical, and geographic sub-groups.

Exclusion Criteria:

• Under 18 years of age.