CENEXA   05419
CENTRO DE ENDOCRINOLOGIA EXPERIMENTAL Y APLICADA
Unidad Ejecutora - UE
congresos y reuniones científicas
Título:
International diabetes management practices study (IDMPS): outcomes comparison between educated and non educated people with type 2 diabetes
Autor/es:
GAGLIARDINO JJ; ASCHNER P; BAIK SH; CHAN J; HANCU N; ILKOVA H; RAMACHANDRAN A
Lugar:
Vienna
Reunión:
Congreso; 45th EASD Annual Meeting; 2009
Institución organizadora:
EASD
Resumen:
Background and aims: Achievement of diabetes treatment goals greatly depends on the patient´ s active and efficient participation in the control and treatment of the disease. Although education is a valuable tool to obtain such participation, many patients worldwide still lack appropriate diabetes education. ´This study shows significant improvement of treatment indicators in a population ofeducated persons with type 2 diabetes and values close to treatment goals according to EASD/ADA guidelines. Materials and methods: The IDMPS is an international. multicenter, observafional study performed in 27 countries within Africa, Asia, Eastern Europe, Middle East and Latin America. Data were collected from people with type 1 and 2 diabetes (~18 years) seen in current medical practice in yearly cycles (2-week cross-sectional recruitment period followed by a 9-month longitudinal period for type 2 patients) for 5 years. IDMPS was performed in compliance with the Helsinki Declaration and Good Clinical Practice Standards. We currently report and compare results from 11384 people with type 2 diabetes (educated vs. non educated, 5692 in each group, paired by age, gender and diabetes duration) recruited during the second cross-sectional period (November and December 2006). Data were analyzed using the Wilcoxon and the chi´ tests for continuous and categorical variables, respectively. Results: Values of the different parameters measured in both groups were close to treatment goals proposed by EASD/ADA guidelines; however, the educated group had modestly but significantly (P< 0.001) higher figures of people with normal BMI (28.3 vs. 24,4%), diastolic BP <80 mm Hg (36.5 vs. 32.3%). HbAlc < 7.0% (38.1 vs. 35.8%). LDL-c < 100 mg/dL (39.5 vs. 33%) and triglyceride < 150 mg/dL (52.7 vs. 49%). The percentage of complications was low (20%) in both groups but the educated group had significantly lower values of people with proteinuria (16.6 vs. 18%) and foot ulcer (2.4 vs. 3.5%). Conclusion: These data represent one of the largest reported on education of people with type 2 diabetes and demonstrate that education can significantly improve treatment outcomes, even in persons with values close to treatment goals. Such improvements can help to prevent the development/progression of chronic complicalions and the consequent increase in treatment costs. Supported by: sanofi-aventis