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Title: Intensive diabetes education program and multidisciplinary team approach in management of newly diagnosed type 1 diabetes mellitus : A greater patient benefit, experience at Siriraj Hospital
Authors: Supawadee Likitmaskul
Renu Wongarn
Pornpimol Kiattisakthavee
Sangtong Prayongklin
Duangkamon Markmaitree
Wanla Pookpun
Kitti Angsusingha
Jirapa Wekawanich
Katharee Chaichanwatanakul
Saroj Nimkarn
Linda Weerakulwattana
Yupin Ritjarean
Luephorn Punnakanta
Chanika Tuchinda
Mahidol University
Keywords: Medicine
Issue Date: 1-Aug-2002
Citation: Journal of the Medical Association of Thailand. Vol.85, No.SUPPL. 2 (2002)
Abstract: It is accepted worldwide that an effective multidisciplinary management team is essential for providing comprehensive self-management training to type 1 diabetics and their families. Therefore, the authors developed an intensive multidisciplinary education team that included pediatric endocrinologists, a dietitian, a psychologist, nurses, scientists and volunteers in the Department of Pediatrics, Siriraj Hospital in August 1996. This study aimed to analyze twenty-four newly diagnosed diabetics who underwent this specified program and multidisciplinary team approach in comparison to twenty-eight diabetic patients who were diagnosed before the program and team were established in order to see whether the length of hospitalization had been reduced and to compare the readmission rates of recurrent DKA with previous patients. The results demonstrated that by using the intensive program and multidisciplinary team the average length of admission was reduced from 36.04 days to 17.63 days (p value = 0.03). The readmission rate in the first year after diagnosis was also reduced from 17.8 per cent to 4 per cent. Concerning diabetes control, the average HbA1C level showed significantly better control. Therefore, this study demonstrated a successful team and program for newly diagnosed Thai childhood and adolescent diabetics and also emphasized that a multidisciplinary team approach with an effectively intensive education program is important in helping diabetics and families cope with their emerging problems and receive the long-term benefits of effective self-care.
ISSN: 01252208
Appears in Collections:Scopus 2001-2005

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