Improving Glycemic Control in Children with Diabetes through Implementation of Multidisciplinary Team Approach
Journal Title: Journal of Endocrinology and Diabetes - Year 2016, Vol 3, Issue 2
Abstract
Diabetes Mellitus is one of the most common Paediatric metabolic disorders with an incidence that is rapidly rising worldwide. Its management requires a multidisciplinary approach with involvement of highly specialized team members. Lack of proper diabetes management in children and adolescents results in poor glycemic control and predisposes to acute and long term complications. We aim to study the impact of implementing a multidisciplinary team approach on the glycemic control in children and adolescents with diabetes. We have built a multidisciplinary team over a period of 4 years and examined the impact of provision of diabetes management on the diabetes control of the children and adolescents attending our diabetes department. Data of HbA1c of patients followed in the department and rate of admission for DKA was collected over 4 years' period. Average HbA1c and rate of admission for DKA were drawn up annually over the study period. First year of the study was considered the baseline point with which mean annual HbA1c was compared. A multidisciplinary team of 8 members was built over the study period. Total number of patients in clinic increased from 37 to 79, 190, 272 and 331 in years 2010 to 2014 respectively. Average (mean) age for patients in clinic was 1.2-18.7 years (9.4) with a 1:1 gender ratio. Percentage of patients with HbA1c less than 7.5% rose from 0 to 6, 13 and 21% from clinic population on yearly basis from 2011 to 2014. For the category of A1c between 7.5-9.5%, percentage of patients increased from 40 to 45, 59 and 61% over years between 2011 to 2014 (P = 0.002). Number of patients with HbA1c above 9.5% dropped from 60 to 49, 28 and 18% annually by 2014 (P = 0.003). Rate of DKA admission decreased significantly over the period of study (P = 0.001). Implementing a multidisciplinary approach in treating children and adolescents with diabetes can result in improving glycemic control. The approach is proven to be effective and sustainable.
Authors and Affiliations
Deeb Asma, Attia Salima, Yousef Hana, Abdelrahman Layla, Suliman Shaker, Tomy Mary
Keywords
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- EP ID EP333428
- DOI 10.15226/2374-6890/3/2/00147
- Views 112
- Downloads 0
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