Optimization of Care for Adult Outpatients With Type 2 Diabetes Through the Diabetes Self-Management Multidisciplinary Program: A Randomized Clinical Trial

Garcia, Sheila Piccoli; Madalosso, Mariana Migliavacca; Bottino, Leonardo Grabinski; Monteiro, L.; Sparrenberger, Karen; Schneiders, Josiane; Berlanda, Gabriela; Blume, Carina Andriatta; Gossenheimer, Agnes Nogueira; Teló, Gabriela Heiden; Schaan, Beatriz D’Agord

doi:10.1016/j.jcjd.2022.01.006

Cited by 6 publications

(3 citation statements)

References 37 publications

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“…Therefore, there is a need for future studies to investigate the effects of glycemic control on diabetic complications and quality of life in the pandemic. Previous studies emphasize that multidisciplinary team care approach improves quality of life and mental health parameters of patients with diabetes ( 32 , 33 ). The virtual multidisciplinary approach is of great importance in the management of diabetes in the COVID-19 pandemic ( 33 ).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of quality of life and physical activity in patients with type 1 diabetes mellitus during the COVID-19 pandemic

Çelik¹,

Törüner²,

Güçlü³

2022

Archives of Endocrinology and Metabolism

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Objective:The aim of the study is to compare the quality of life, physical activity, anxiety, depression, fear of hypoglycemia, loneliness perception in patients with type 1 diabetes mellitus and controls. Subjects and methods: Forty-four patients and 63 controls were included in this cross-sectional study. Quality of life (Short Form 36-SF-36), physical activity level (International Physical Activity Questionnaire-short form), anxiety and depression (Hospital Anxiety and Depression Scale), fear of hypoglycemia (Hypoglycemia Fear Survey), loneliness perception (UCLA Loneliness Scale) were evaluated. Results: Physical role limitations and general health perception subscale scores of SF-36 questionnaire in patients were significantly higher than the controls (p < 0.05). Conclusion: Role limitations due to physical problems and fear of hypoglycemia are increased, and general health perception is impaired in patients with type 1 diabetes mellitus. Physical inactivity is an important symptom in individuals in the pandemic period. In this regard, telerehabilitation approaches will be beneficial for all individuals in increasing physical activity, improving quality of life, and decreasing anxiety, depression and loneliness perception during the pandemic period for all individuals. The importance of a multidisciplinary approach in diabetes management and dealing with problems should be considered in pandemic.

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Section: Discussionmentioning

confidence: 99%

Evaluation of quality of life and physical activity in patients with type 1 diabetes mellitus during the COVID-19 pandemic

Çelik¹,

Törüner²,

Güçlü³

2022

Archives of Endocrinology and Metabolism

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“…A multidisciplinary patient-centered approach, involving an endocrinologist or diabetes care specialist, a geriatrician, a general practitioner, a dietician or nutritionist, a pharmacist, a physical therapist, and in some cases a home nurse, is important to guarantee high-quality diabetes care and to improve older patients' quality of life. 62 Effective multidisciplinary teams are also core to the assessment of geriatric syndromes in older adults with T2DM, given that geriatric syndromes are multifactorial and do not fit into distinct disease categories. 63 Moreover, geriatric syndromes such as frailty may be difficult to diagnose in clinical practice, particularly since the trajectories and transitional states of frailty in older adults with diabetes have yet to be firmly established.…”

Section: Multidisciplinary Care In Older Adultsmentioning

confidence: 99%

Management of Glucose-Lowering Therapy in Older Adults with Type 2 Diabetes: Challenges and Opportunities

Doucet,

Gourdy,

Meyer

et al. 2023

CIA

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The population of older adults (≥65 years) with type 2 diabetes mellitus (T2DM) is diverse, encompassing individuals with varying functional capabilities, living arrangements, concomitant medical conditions, and life expectancies. Hence, their categorization into different patient profiles (ie, good health, intermediate health, poor health) may aid in clinical decision-making when establishing glycemic goals and pharmacological treatment strategies. Further granularity in assessing each patient profile through interdisciplinary collaboration may also add precision to therapeutic and monitoring decisions. In this review, we discuss with a multidisciplinary approach how to deliver the best benefit from advanced diabetes therapies and technologies to older adults with T2DM according to each patient profile. There remain however several areas that deserve further research in older adults with T2DM, including the efficacy and safety of continuous glucose monitoring and automated insulin delivery systems, the switch to once-weekly insulin, the effectiveness of multidisciplinary care models, and the use of supported telemedicine and remote blood glucose monitoring in the oldest-old (≥85 years) who particularly require the assistance of others.

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“…Web-based and remote health interventions (also called "Internet Interventions" or "eHealth") are typically behavioral treatments, which are operationalized and transmitted via the internet or remotely (Eberle et al, 2021). Moreover, teleconsultation can add by getting different healthcare providers together through a common objective, a well-known strategy for chronic diseases including T2D (Garcia et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Impact of pharmaceutical teleconsultation on glycemic control of people with type 2 diabetes mellitus in a public pharmacy in Brazil: A randomized clinical trial protocol (TelePharmaceutical Care Diabetes Trial) – TPCDT

Gossenheimer

Alberti²,

Argoud³

et al. 2023

Braz. J. of Sci.

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Telepharmacy is a fundamental tool to ensure glycemic control in patients who don’t access health services. The objective of this protocol is to report the procedures of a randomized clinical trial that will evaluate the impact and economic evaluation of a pharmaceutical teleconsultation service for patients using dapagliflozin, recently incorporated by the Brazilian public health system for the treatment of type 2 diabetes (T2D). Patients aged 65 years or older, with T2D, and who withdraw dapagliflozin in a public pharmacy located in southern Brazil will be recruited. They will be electronically randomized with allocation for intervention or control group. The intervention will be conducted out through three teleconsultations, one per month, with a pharmacist. The main outcomes will be glycemic control (hemoglobin A1c) and treatment adherence. Secondary outcomes will include lipid profile, blood pressure, and body mass index, number of hospital admissions, number of emergency room visits, number of medical consultations performed, number of problems related to pharmacotherapy identified and resolved, cost related to service and quality of life. The economic evaluation will be carried out using time-driven activity-based costing. Through this research, we will be able to identify whether pharmaceutical teleconsultation services can complement face-to-face consultations to improve health outcomes in T2D patients on dapagliflozin. The study was registered in Clinical Trials (NCT05380596).

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Optimization of Care for Adult Outpatients With Type 2 Diabetes Through the Diabetes Self-Management Multidisciplinary Program: A Randomized Clinical Trial

Cited by 6 publications

References 37 publications

Evaluation of quality of life and physical activity in patients with type 1 diabetes mellitus during the COVID-19 pandemic

Evaluation of quality of life and physical activity in patients with type 1 diabetes mellitus during the COVID-19 pandemic

Management of Glucose-Lowering Therapy in Older Adults with Type 2 Diabetes: Challenges and Opportunities

Impact of pharmaceutical teleconsultation on glycemic control of people with type 2 diabetes mellitus in a public pharmacy in Brazil: A randomized clinical trial protocol (TelePharmaceutical Care Diabetes Trial) – TPCDT

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