Introduction to IDF Diabetes Impact Studies. Diabetes Impact Study results for Argentina

GAGLIARDINO JJ

Montreal, Canadá

Congreso; IDF 20th World Diabetes Congress; 2009

International Diabetes Federation

Background: Diabetes care quality is poor worldwide and outcomes do not reach international guidelines target values. We hypothesize that care quality depends on 1) healthcare providers knowledge and motivation; 2) patient accessibility to care and treatment, 3) patient active participation in disease control and treatment; 4) education is an efficient tool to improve it. Data from Argentina support this hypothesis: General Practitioners (GPs) Education Program: 900 T2DM patients from 500 GPs were evaluated one year before and after attending interactive theoretical practical courses, showing significant improvement in: Procedures  performance: Fundus oculi 52 vs. 86%; cardiovascular assessment 63 vs. 88%; SMBG 27 vs. 66%. Treatment prescriptions: physical activity 23 vs. 73%; metformin 31 vs. 40%; insulin 5 vs. 18%. Outcomes: BMI 29 ± 5 vs. 27 ± 5 kg/m2; SBP 144 ± 22 vs. 124 ± 23 mm Hg; DBP  96 ± 22 vs. 80 ± 9 mm Hg; fasting blood glucose 210 ± 71 vs. 150 ± 40 mg/dL; A1c 9.8 ± 2 vs. 7.8 ± 1 %; total cholesterol 239 ± 79 vs. 207 ± 28 mg/dL; triglyceride 215 ± 92 vs. 165 ± 51 mg/dL; severe hypoglycemia episodes (frequency) 8.5 vs. 5.9 %; yearly hospitalizations 25 vs. 17 %. Integral Diabetes Care Program (PROPAT): Case-control study matching patients by age and gender implemented in a HMO of the Province of Buenos Aires. All recommended practices recorded at baseline increased significantly one year after PROPAT implementation, with a concomitant significant improvement in all clinical and biochemical parameters tested and a 28% decrease in total annual per capita costs (Diabetes Res Clin Pract 72:284, 2006). CONCLUSIONS: Eucation improves the quality and the corresponding costs of diabetes care.