P-372: A nutritional care model for patients with new-onset diabetes at a tertiary pediatric hospital in South America
B Soto Montesano, M Raspini, M C Gabras, C Alasio, M Giudice Bravo, M Prieto, C Vezzani, S BlasiAbstract
Introduction
Type 1 diabetes mellitus in pediatrics requires an interdisciplinary approach from the time of diagnosis due to its impact on quality of life. Nutrition intervention is a cornerstone for metabolic control and the prevention of complications. International guidelines emphasize that diabetes education should begin at the onset of the disease, promoting the progressive development of self-care skills. The lack of structured models can lead to inconsistencies in clinical practice.
Objectives
Describe a model of nutritional care for pediatric patients with newly diagnosed diabetes in a tertiary care hospital.
Methods
A descriptive study based on the development of an early intervention (EI) model for patients with newly diagnosed diabetes at a tertiary Pediatric Hospital in Argentina. A progressive, four-stage educational model was designed to systematize the nutritional approach, adaptable to both inpatient and outpatient care. The stages of the nutritional approach for newly diagnosed patients are: recognition of macronutrients, quantification of carbohydrates, interpretation of food labels, and understanding of the glycemic index. Assessment of comprehension is integrated across all of them
Results
The model allows for the standardization of nutritional intervention and the optimization of care. The hospital currently has approximately 660 patients under follow-up and 70 annual admissions, with an average HbA1c of 7.63%. The proposed model (Figure 1) is based on a stepwise intervention sequence that includes an initial nutritional assessment, dietary treatment planning, and a structured educational program.
Conclusions
Admission during T1D onset presents a key opportunity for therapeutic education. Structured models improve the quality of care, optimize time, and promote adherence and long-term metabolic control.