Resultados de un programa multidisciplinario de tratamiento intensificado de la diabetes mellitus tipo 1 (DM1) en un Hospital Público / Results of a multidisciplinary and intensified treatment program for type 1 Diabetes Mellitus in a Chilean Public Hospital
Rev. méd. Chile
;
131(8): 857-864, ago. 2003.
Artículo
en Español
| LILACS
| ID: lil-356049
ABSTRACT
BACKGROUND:
During the last decade, the importance of glycemic control in the prevention of the microvascular complications of type 1 Diabetes Mellitus (DM1) was clearly demonstrated.AIM:
To evaluate the metabolic and anthropometric results of a multidisciplinary intensified treatment program of DMI in children and adolescents. PATIENTS ANDMETHODS:
Report of 54 patients treated during 2001. The intensified treatment consisted of multiple daily doses of insulin, frequent glycemic control, nutritional, psychological and educational support, and permanent availability of a diabetes nurse for telephonic support.RESULTS:
Thirty one patients were female, their mean age was 10.4 +/- 0.5 years old and 52 per cent were experiencing puberty. Fifty three percent of the patients used 3 insulin doses per day, 95 per cent changed rapid insulin dose based on glucose levels and 18 per cent considered carbohydrates in their rapid insulin dosing. Mean glycosilated hemoglobin was 8.18 +/- 0.23 per cent without differences by sex or pubertal status. Sex, pubertal stage and the number of insulin doses did not contribute to glycosilated hemoglobin changes. There were no differences in weight or BMI, but there was a decrease in height Z score from the admission to the program until the last control (0.1 +/- 0.1 vs--0.3 +/- 0.1 DS; p < 0.01).CONCLUSIONS:
A modified intensified modality of DM1 therapy for pediatric patients in a public hospital in Chile is feasible, achieving similar metabolic control, compared to international large centers.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Límite:
Adolescente
/
Niño
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2003
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Universidad de Chile/CL
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