P-398: Impact of a program of education and use of technology in the management of pediatric patients with type 1 diabetes mellitus in a public hospital in a country of limited resources
K L Membreño Lozano, L M Espinoza Colindres, S S Velásquez VelásquezAbstract
Introduction
Continuous glucose monitoring (MCG) has been shown to improve metabolic control in patients with diabetes, optimizing metrics such as time in range (TIR), time above the range (ART), time below the range (TBR) and coefficient of variation (CV). In low-income countries, bringing technology closer to people with a low level of education represents a major challenge for health personnel.
Objectives
To analyze the impact of a personalized educational program combined with the use of MCG, using glycemic parameters (TIR, TAR, TBR, CV, HbA1c).
Methods
Case series study, in patients under 18 years of age, diagnosed with type 1 diabetes, from the Endocrinology Service of the Hospital María, Pediatric Specialties*. Eleven children who met the “star of six peaks” education program were included, who were placed with an MCG. Initial and 3-month metrics were evaluated.
Results
There was an improvement in the glycemic control of all participants, with an increase in IRR from 57.4% to 72.8% in both sexes. Reduction of the TAR from 18.8% to 13.1% in girls and boys from 19.5% to 14%. Hyperglycemia (> to 250 mg/dl) showed a reduction of 23.3% in adolescent girls to 3.1%; and in adolescent boys from 25.5% to 3.1%. The CV showed a downward trend at all ages and genders. In the analysis of HA1c showed an improvement to values < 8 in 82% (9/11) compared to initial values > 8 in 91%.
Conclusions
In environments with limited resources, the combination of a tailor-made education program combined with technology, achieves significant clinical and economic benefits, by reducing acute and chronic complications, hospitalizations and costs associated with diabetes management