Education of Adults With Type-1 Diabetes in Latin America and the Middle East: Results From the International Diabetes Management Practices Survey (IDMPS).

GAGLIARDINO JJ ET AL

Philadelpia

Congreso; American Diabetes Association’s 72nd Scientific Sessions; 2012

American Diabetes Association

IDMPS is an ongoing 5-year multinational observational study documenting the current quality of care provided to people with type 1 or type 2 diabetes. Feasibility analyses were previously performed to validate the chance of pooling the data collected during 4 years in Latin America (LA) (2693 patients) and 3 years in the Middle East (ME) (1316 patients). The aim was to describe the patient profiles of type 1 diabetes mellitus (T1DM) patients who received diabetes education in LA and ME. Patient profiles were identified using logistic regression analysis. Diabetes education was received by 65.3% of patients in LA and 58.9% in ME. Education delivered individually, collectively, or both was given to 60,3, 29,2, and 10.6% of patients in LA, and 69.7,20.2, and 10.1% of patients in ME, respectively. Only 1304% of patients in LA and 14.0% in ME belonged to a patient diabetes association. The use of basal-prandial insulin regimen was higher in patients receiving diabetes education: basal-prandial regimen 70.3% in LA, 68.6% in ME; basal regimen 53.2% in LA, 32.3% in ME; other 58.9% in LA, 51.6% in ME. Glycemic control was higher in patients trained by a diabetes educator: 76.3% vs 66.7% in LA, and 68.2% vs 59.0% in ME. In LA, diabetes education was significantly associated with patient recruited by specialists (OR : 1.4, p: 0.034), glucometer use (OR : 1.6, p: 0.025), self-management (self-monitoring blood glucose and self-adjustment of insulin (OR: 1.6, p: 0.001), and A1C < 7% (OR: 1.5, p: 0.007). In ME, diabetes education was significantly associated with glucometer use (OR : 1.9, p: 0.0191), self-management (OR : 1.9, p:0.007), basal-prandial insulin regimen (vs basal regimen: OR: 204, p: 0.006), and A1C < 7% (OR: 1.6, p: 0.033). Diabetes education, in both regions, is associated with better glycemic control. Therefore, efforts should be made to provide access to diabetes education to all adults with T1DM.