A Study Comparing Standard Care for Diabetes to Case-managed Care for Diabetes in Patients With Coronary Artery Disease

The purpose of this study is to compare two ways to treat patients with Type 2 Diabetes, Standard Care or Case-Managed Care. In-Patient Standard Care is guided by the assigned cardiologist and Out-Patient Standard Care by the existing diabetes care givers. Case-Managed care involves a consult with an endocrinologist and counseling from a diabetic educator and a dietician.

Inclusion Criteria: * Diabetes Mellitus, type 2, as defined by at least one of the following: * Previous diagnosis of diabetes * two glucose levels consistent with diabetes (fasting glucose \>7.0 mmol/L or random glucose \>11.0 mmol/L ) * HbA1C \> 6.5% using DCCT standardized methods And Coronary Disease, as defined by at least one of the following: * Admitting diagnosis of acute coronary syndrome defined by 2/3 of typical history, enzyme changes, dynamic ECG changes * Prior history of acute coronary syndrome defined as above * Previously documented myocardial infarction * Previous coronary revascularization procedure * Coronary artery disease defined by coronary angiography * Exercise or persantine nuclear perfusion imaging positive for ischemia Exclusion Criteria: * Refusal to enter the study * Inability to understand consent forms and provide informed consent * Anticipated length of non-ICU hospital stay less than 48 hours * Diabetes Mellitus, type 1