P-417: Strategies applied to promote self-care in children and adolescents with T1DM and clinical outcomes impact
V Vargas, G Dandolini, K A Nartis, M BonaféAbstract
Introduction
The increase in the incidence of type 1 diabetes (T1DM) in children makes increasingly evident the need for strategies that strengthen self-care. One of the main challenges is transforming technical content into information accessible to children through a playful and diversified approach, making it more attractive to the child and adolescent audience. The Gamellito Project includes activities organized by a team from the areas of nutrition, nursing, dentistry, endocrinology, ophthalmology, social work, physical education, design, journalism, performing arts, computing, and public relations
Objectives
The objective was to evaluate glycated hemoglobin (HbA1c) between 2024 and 2026 in patients at a public hospital that uses the playful strategies of the Gamellito Project, aimed at promoting self-care in children with T1DM.
Methods
The method was based on the evaluation of the medical records of 09 children between 7 and 12 years of age, 2 male and 7 female, with a diagnosis of T1DM for more than two years. Data were collected from before, during, and after medical follow-up. The data were collected through consultation of the medical records.
Results
The results obtained reveal that the glycated hemoglobin index, comparing before and during follow-up, was reduced by an average of 2.95%. When comparing the glycated hemoglobin index during and after follow-up, there was a reduction of 0.58%.
Conclusions
These data corroborate the current recommendations of the ADA 2025 clinical practice, that all people with diabetes should be guided to participate in programs called Diabetes Self-Management Education and Support. It is concluded that the playful-educational proposal of the Gamellito Project favored the knowledge of children with diabetes about various aspects of their health condition and contributed to engagement in self-care, resulting in a reduction in glycated hemoglobin.