Resultados de un programa multidisciplinario de tratamiento intensificado de la Diabetes Mellitus tipo 1 (DM1) en un Hospital Público

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 childre...

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Autores principales:	Codner D,Ethel, Mericq G,Verónica, García B,Hernán, López G,Claudia, Cáceres V,Jeannette, Gaete V,Ximena, Avila A,Alejandra
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Diabetes Mellitus insulin dependent Health care surveys Insulin
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000800004
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spelling	oai:scielo:S0034-988720030008000042004-12-13Resultados de un programa multidisciplinario de tratamiento intensificado de la Diabetes Mellitus tipo 1 (DM1) en un Hospital PúblicoCodner D,EthelMericq G,VerónicaGarcía B,HernánLópez G,ClaudiaCáceres V,JeannetteGaete V,XimenaAvila A,Alejandra Diabetes Mellitus insulin dependent Health care surveys Insulin 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 and methods: 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% were experiencing puberty. Fifty three percent of the patients used 3 insulin doses per day, 95% changed rapid insulin dose based on glucose levels and 18% considered carbohydrates in their rapid insulin dosing. Mean glycosilated hemoglobin was 8.18±0.23% 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 (Rev Méd Chile 2003; 131: 857-64)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.8 20032003-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000800004es10.4067/S0034-98872003000800004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Diabetes Mellitus insulin dependent Health care surveys Insulin
spellingShingle	Diabetes Mellitus insulin dependent Health care surveys Insulin Codner D,Ethel Mericq G,Verónica García B,Hernán López G,Claudia Cáceres V,Jeannette Gaete V,Ximena Avila A,Alejandra Resultados de un programa multidisciplinario de tratamiento intensificado de la Diabetes Mellitus tipo 1 (DM1) en un Hospital Público
description	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 and methods: 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% were experiencing puberty. Fifty three percent of the patients used 3 insulin doses per day, 95% changed rapid insulin dose based on glucose levels and 18% considered carbohydrates in their rapid insulin dosing. Mean glycosilated hemoglobin was 8.18±0.23% 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 (Rev Méd Chile 2003; 131: 857-64)
author	Codner D,Ethel Mericq G,Verónica García B,Hernán López G,Claudia Cáceres V,Jeannette Gaete V,Ximena Avila A,Alejandra
author_facet	Codner D,Ethel Mericq G,Verónica García B,Hernán López G,Claudia Cáceres V,Jeannette Gaete V,Ximena Avila A,Alejandra
author_sort	Codner D,Ethel
title	Resultados de un programa multidisciplinario de tratamiento intensificado de la Diabetes Mellitus tipo 1 (DM1) en un Hospital Público
title_short	Resultados de un programa multidisciplinario de tratamiento intensificado de la Diabetes Mellitus tipo 1 (DM1) en un Hospital Público
title_full	Resultados de un programa multidisciplinario de tratamiento intensificado de la Diabetes Mellitus tipo 1 (DM1) en un Hospital Público
title_fullStr	Resultados de un programa multidisciplinario de tratamiento intensificado de la Diabetes Mellitus tipo 1 (DM1) en un Hospital Público
title_full_unstemmed	Resultados de un programa multidisciplinario de tratamiento intensificado de la Diabetes Mellitus tipo 1 (DM1) en un Hospital Público
title_sort	resultados de un programa multidisciplinario de tratamiento intensificado de la diabetes mellitus tipo 1 (dm1) en un hospital público
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000800004
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Resultados de un programa multidisciplinario de tratamiento intensificado de la Diabetes Mellitus tipo 1 (DM1) en un Hospital Público

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