Objective : To assess the role of frequent visits by patient and regular counselling on glycemic status in T1DM patients.
A total of 134 patients who were diagnosed as T1DM or latent autoimmune diabetes were selected., of the 134 patients, 100 patients who visited the doctor as scheduled were considered for study. Patient were divided into two groups, group A patients who visited every 15 days along parents and these patients were provided counselling by diabetes educator with the help of pamphlets, audiovisual aids and importance of SMBG was emphasized on each visit a total of 7 visits were recorded by group A whereas group B constituted patients who visited the facility on day one thereon after 1 months and 3 months. these patients were counselled on similar lines with diabetes educator and a total of 2 visits were recorded by group B. Patients were monitored for FBS, PPBS and occurrence of hypos at 1 month, 2 month and 3 months. Hba1c was measured at baseline and after 3 months.
In the present study the mean age, gender distribution,FBS,PPBS, HbA1c in both groups were not having any statistically significant difference (p >0.05). FBS,PPBs were measured at 1,2 and 3 months interval it was observed that the mean FBS in group A at 1 month (179.02 ± 25.77), 2 months (168.88 ± 28.08) and 3 months (139.02 ± 20.59) was lower than compared to mean FBS in group B at 1month (202.14 ± 31.47),2months (194.34 ± 30.22) and 3months (184.38 ± 32.49) respectively p<0.05. mean PPBS in group A at 1month (219.02 ± 49.76),2 months (208.50 ± 56.33) and 3months (170.12 ± 28.14) was lower than compared to mean PPBS in group B at 1month (247.88 ± 39.65), at 2months (236.84 ± 38.36) and 3months (228.26 ± 36.86) respectively p <0.05. Mean HbA1c at 3 months was significantly lower in group A compared to group B (p <0.05). Symptoms of frequent hypoglycemic episodes were lower in group A compared to group B however the observation was not statistically significant p >0.05.
We found out that poor followup, hypoglycemic incidence, psychosocial factors were major hindrance and he started counselling and explaining about dose titration of insulin have helped in achieving glycemic control and reduced incidence of hypoglycemia also. Hence it’s a team work to improve glycemic control.
there are many complexities involved in treating type 1 DM patients. Therefore, adopting a team approach is essential for good glycemic control.Patient should be motivated for continuing life style modification and patient should continue taking insulin regularly without skipping the doses.
Riyaz Mohammed– Consultant Endocrinologist, Esani Diabetes and Multispeciality Center, Hyderabad, India
Habeebuddin Shaji Mohammed– Senior Resident, Esani Diabetes and Multispeciality center, HYDERABAD, Telangana, India
Azfar Ali Mohammed– Senior Resident, Esani Diabetes and Multispeciality Center, Karimnagar, India
Esani Diabetes and Multispeciality Center
I Dr. Mohammed Riyaz presently am working as a Consultant Endocrinologist and Diabetologist. I have completed my Post Graduation in General Medicine from Deccan College of medical Sciences in the year 2007. Post Completion I have been done my Diploma and Masters in Endocrinology. I have been actively participating in teaching programs for Undergraduate and Post Graduate Students. I have been as an external examiner for in various medical colleges in India.
My keen interest is in Diabetes and Endocrinology so I had pursued Diploma Endocrinology from University of South Wales and Master in Endocrinology from Texila medical university in 2015.
I am presently active member of various national and international associations.
I Have published many papers in national and international Journal and I am also holding as position as Editor and Reviewer of Prestigious Journals. I have presented many oral presentations in National and International Conferences.
Esani Diabetes and Multispeciality center
HYDERABAD, Telangana, India
Dr. Mohammed Habeebuddin Shaji have completed Bachelor Medicine in 2002. Had keen interest in Diabetes and its complication. i am associated with Esani Diabetes and Multi-Speciality Center.
Esani Diabetes and Multispeciality Center
Dr.Mohammed Azfar Ali has graduated from Windsor university school of medicine, St.Kitts in 2006. He has presented many papers at national and international level .following his graduation he has worked as a resident in the medical ICU of Indo American cancer and research institute,hyderabad and participating in various clinical trials in the field of oncology. He continued his oncology experience in omega cancer hospital in Hyderabad, later he joined Apollo institute of medical science and research, Hyderabad where he continued to practice as a resident in ICU and joined Esani Diabetes and multi specialty center where he attends to patients with diabetes and endocrine disorders.