Journal of Diabetes and Endocrinology
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Article Number - 6277E7E4433

Vol.4(3), pp. 37-44 , August 2013
DOI: 10.5897/JDE2013.0065
ISSN: 2141-2685

Full Length Research Paper

Diabetes Objective Control and Education (DOCE) Project Study: Continued education and multiprofessional care in type 1 diabetes contribute to long-term glycemic control?

Mirnaluci Paulino Ribeiro Gama1,2*, Marcelo Bettega3, Aniele Cristine Ott Clemente3 and Lucianna Ribeiro Machado Thá1

1Endocrinology Service, DOCE Project Outpatient Clinic of the Hospital Universitário Evangélico de Curitiba, Curitiba, PR, Brazil.

2Endocrinology Service and Diabetes Unit of the Hospital Universitário Evangélico de Curitiba, Curitiba, PR, Brazil.

3Depatment of Internal Medicine, Hospital Universitário Evangélico de Curitiba, PR, Brazil.


 Accepted: 02 May 2013  Published: 31 August 2013

Copyright © 2013 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0

The purpose of this study was to assess the effectiveness of continued education and multiprofessional care for type 1 diabetes mellitus patients as a strategy for long-term glycemic control evaluated by glycosylated hemoglobin (A1C) levels. This study is a retrospective, observational study of the Diabetes Objective Control and Education (DOCE) Project. A group of 74 patients accompanied by family member attended multiprofessional appointments and an epidemiologic profile of the group was created. The analyzed variables were age, body mass index (BMI), height, duration of disease, age at diagnosis, duration of follow-up, current and baseline A1C, and the relationship between the period of follow-up and the variation in A1C. Mean age at diagnosis was 10.4±7.3 years, and duration of disease was 5.6±6.3 years. Mean age was 16±9.3 years, while mean BMI was 20.3±5.3. Mean duration of follow-up was 27.5±15.6 months. Baseline and current A1C were 10.5±1.8 and 8.2±1.7, respectively. A significant reduction in A1C was observed with the follow-up by the DOCE Project (p=0.00436). Other significant correlations were found between duration of treatment and reduction of current A1C (p=0.00000001) and duration follow-up and A1C reduction (p=0.00000003). Continued education and multiprofessional care for type 1 diabetes mellitus patients is an effective method for long-term glycemic control.


Key words: Diabetes mellitus, glycosylated hemoglobin (A1C), education, glycemic control.

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APA (2013). Diabetes Objective Control and Education (DOCE) Project Study: Continued education and multiprofessional care in type 1 diabetes contribute to long-term glycemic control?. Journal of Diabetes and Endocrinology, 4(3), 37-44.
Chicago Mirnaluci Paulino Ribeiro Gama, Marcelo Bettega, Aniele Cristine Ott Clemente and Lucianna Ribeiro Machado Th&a. "Diabetes Objective Control and Education (DOCE) Project Study: Continued education and multiprofessional care in type 1 diabetes contribute to long-term glycemic control?." Journal of Diabetes and Endocrinology 4, no. 3 (2013): 37-44.
MLA Mirnaluci Paulino Ribeiro Gama, et al. "Diabetes Objective Control and Education (DOCE) Project Study: Continued education and multiprofessional care in type 1 diabetes contribute to long-term glycemic control?." Journal of Diabetes and Endocrinology 4.3 (2013): 37-44.
DOI 10.5897/JDE2013.0065

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