Impacto da aplicação de um modelo programado de atenção ao diabetes na hemoglobina glicada de pacientes portadores de Diabetes Mellitus tipo 2 em um centro de referência de média complexidade após um ano de sua implementação

Abstract

Objective: Evaluate the impact of a programmed and multiprofessional care and treatment program for diabetic patients (APDIA) on glycosilated hemoglobin, fasting glycemia, post-prandial glucose and glycemic control in patients with type 2 diabetes mellitus who were assisted at a referral center of medium complexity after 1 year of implementation. Materials and methods: 229 patients with DM2 were evaluated from May to December of 2017 for fasting glycemia, postprandial glycemia, glycosilated hemoglobin and diabetes control and compared to 251 patients evaluated from September to December 2016. Results: there was a significant improvement in mean HbA1c between the two groups (p = 0.0001), as well as the percentage of patients considered with adequate control (p = 0.03). The mean of the HbA1c decreased from 8.71 ± 2.19% to 7.90 ± 2.07%. Fasting and postprandial glycemia averages also showed a significant improvement with p = 0.0001 and p = 0.0028, respectively, demonstrating the positive consequences of the program in the assisted patients. Conclusion: The importance of the continuous and multidisciplinary care of the diabetic patient with the objective of improving their glycemic measurements and, consequently, achieving adequate diabetes control is observed in this study, avoiding or stagnating complications that would affect the life quality of the patient and their relatives, besides representing high cost of public health in our country.