Department of Endocrinology and Diabetology, Douai Hospital Center, Douai, France.
University of Sousse, Faculty of Medicine of Sousse, 4000, Sousse, Tunisia.
Pan Afr Med J. 2022 Mar 9;41:192. doi: 10.11604/pamj.2022.41.192.23965. eCollection 2022.
A multidisciplinary team is composed of various healthcare professionals that ensure a multifaceted approach on a group of patients. Standards for diabetes medical care note the importance of multidisciplinary diabetes care teams. We applied our model of multidisciplinary approach by structuring it in a determined five days hospitalization. The aim of this study was to determine if the interdisciplinary approach applied on a short hospitalization is of benefit in patients with poorly controlled diabetes mellitus. Sixty-seven patients were included and ensured a short hospitalization in which they received a multiple educational advice and a treatment adaptation. Sixty-one patients out of 67 (91%) were retained for evaluation with sufficient data at one year, i.e. 9% of patients with poor compliance. Evolution in glycosylated haemoglobin (HbA1c), weight and treatments was analyzed. After a 12 months follow-up, we observed significant improvement in HbA1c (-1.73%; p < 10) without weight loss (BMI=-0.42 kg/m), p=0.28). HbA1c mean levels correlated negatively to body mass index (BMI) during the regular follow-up (r=-0.22, p=0.05). More than 90% of patients with poorly controlled diabetes mellitus responded to the multi-disciplinary approach with a decrease in HbA1c.
一个多学科团队由各种医疗保健专业人员组成，确保对一组患者进行多方面的治疗。糖尿病医疗护理标准指出了多学科糖尿病护理团队的重要性。我们通过将其结构化在五天的住院治疗中，应用了我们的多学科方法模式。本研究的目的是确定短期住院期间应用的跨学科方法是否有益于血糖控制不佳的糖尿病患者。共纳入 67 例患者，并确保他们在短时间住院期间接受多次教育咨询和治疗调整。67 例患者中有 61 例（91%）得到了足够一年随访数据的评估，即 9%的患者依从性差。分析了糖化血红蛋白（HbA1c）、体重和治疗方法的变化。经过 12 个月的随访，我们观察到 HbA1c 显著改善（-1.73%；p<0.01），而体重没有减轻（BMI=-0.42 kg/m，p=0.28）。HbA1c 的平均水平与常规随访期间的体重指数（BMI）呈负相关（r=-0.22，p=0.05）。超过 90%的血糖控制不佳的糖尿病患者对多学科方法做出了反应，HbA1c 下降。
