Multidisciplinary treatment in adult patients with Type 1 Diabetes Mellitus: a retrospective cohort study in a venezuela center

Abstract

The care of patients with type 1 diabetes mellitus will always be categorized as a medical challenge, in view of the complexity of its management and facing situations of various kinds, which range from achieving a reduction in glycemia values ​​and maintaining them within previously established goals, as well as as the integration of the diet. However, all this is possible thanks to the integration of the patient with a multidisciplinary team that favors achieving these goals. Each of the patients living with type 1 diabetes mellitus carry high costs for their pharmacological management, since the absolute deficiency of insulin makes the acquisition of optimal drugs often deficient. When we comprehensively analyze the patients, we can realize that their psychosocial environment is involved in a better metabolic control, it is for this reason that each one of the patients must go to consultations with: Clinical nutrition, education in diabetes and psychology in addition to the consult with the endocrinologist or specialist in diabetes. At the La Trinidad Teaching Medical Center, in the Endocrinology service, we carried out this retrospective study where we found that the patients who attended the multidisciplinary management consultations during the period of January 2021 and January 2022, had a reduction not only in paraclinical values ​​of Blood glucose and A1c, but also associated acute and chronic complications. Therefore, it was compared with international studies and we found that all patients can have metabolic control using this care sequence.