Implementation of a systematic approach to diabetes in primary care in Bahia, Brazil improves metabolic outcomes: PRODIBA—Programa de Interiorização da Assistência ao Diabetes na Bahia (Project for Dissemination of Diabetes Care in the State of Bahia)

Chaves-Fonseca, Reine M; Matos, Orsolya; Lordelo, Roberta A.; Abreu, Marconi; Farias, Maria Gheizianne Silva; Coutinho, Janaína Fonseca Victor; Ribeiro, M. N.; Matteoni-Athayde, L.; Lessa, Ínes; Pousada, J. C.; Oliveira, Márcio Galvão; Lopes, Carine Ferreira; Strock, Ellie S.; Rs, Mazze

doi:10.1111/j.1464-5491.2008.02656.x

Diabetic Medicine

2009

DOI: 10.1111/j.1464-5491.2008.02656.x

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Implementation of a systematic approach to diabetes in primary care in Bahia, Brazil improves metabolic outcomes: PRODIBA—Programa de Interiorização da Assistência ao Diabetes na Bahia (Project for Dissemination of Diabetes Care in the State of Bahia)

Reine M Chaves-Fonseca

Orsolya Matos²,

Roberta A. Lordelo³

et al.

Abstract: SDM customized algorithms are effective, practical and easy to use in primary healthcare teams with very limited resources.

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Cited by 5 publications

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Current literature in diabetes

2009

Diabetes Metabolism Res

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In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of diabetes/metabolism. Each bibliography is divided into 26 sections: 1 Reviews; 2 General; 3 Genetics; 4 Epidemiology; 5 Immunology; 6 Obesity; 7 Prediction and Prevention; 8 Intervention: a) General; b) Care; c) Drug Therapy; d)Economics; e) Gene therapy; f) Nursing; g) Nutrition; h) Surgery; i) Transplantation; 9 Pathology and Complications: a) General; b) Cardiovascular; c) Eye disease; d) Gestational and fetal; e) Neurological; f) Podiatrical; g) Renal; 10 Endocrinology & Metabolism; 11 Experimental Studies; 12 Diagnosis and Techniques. Within each section, articles are listed in alphabetical order with respect to author

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Current literature in diabetes

2009

Diabetes Metabolism Res

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Efficacy of a staged diabetes management programme in achieving glycaemic goal in a low socio‐economic Hispanic population

Beale

Chan

2010

Pract Diab Int

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The aim of this study was to identify the efficacy of a staged diabetes management (SDM) clinic serving a low socio‐economic Hispanic population in achieving glycaemic goal. We analysed prospectively collected data from patients discharged from the clinic in 2008 with an admission HbA1c >8% (64mmol/mol) and >one clinic visit. Adjusted odds ratios (AOR) were determined for factors significantly associated with glycaemic goal achievement. Both those patients who achieved the clinic HbA1c goal of ≤8% (n=277) and those who did not (n=209) had a clinically significant decrease in HbA1c (‐3.13±1.80, ‐1.08±1.78). After adjustment, the following were associated with failure to achieve goal: higher admission HbA1c (%) 11.0±1.8 vs 10.3±1.7, AOR (95% CI) 1.22 (1.08, 1.37), p=0.0016; higher admission insulin (IU/kg/day) 0.56±0.58 vs 0.26±0.41, AOR 2.08 (1.09, 4.00), p=0.026; greater increase in insulin (IU/kg/day) 0.23±0.46 vs 0.09±0.32, AOR 2.38 (1.15, 5.00), p=0.02; and a longer stay (days) 229±110 vs 172±84, AOR 1.007 (1.003, 1.012), p=0.0008. In this SDM clinic, most patients achieved significant reduction in HbA1c. The study identified factors associated with a lower likelihood of achieving goal thereby demonstrating the value of review of the response to an SDM protocol in indicating areas for further improvement. Copyright © 2010 John Wiley & Sons.

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Public Policies and Interventions for Diabetes in Latin America: a Scoping Review

2017

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Governmental policies and programs for the diagnosis and treatment of diabetes in different Latin American countries have been implemented, but their efficacy to date has not been rigorously evaluated. There are some promising intervention approaches in Latin America to manage diabetes that have been evaluated. Some of these utilize multidisciplinary teams, a relatively resource-intensive approach difficult to replicate in low-resource settings. Other evaluated interventions in Latin America have successfully leveraged mobile health tools, trained peer volunteers, and community health workers (CHWs) to improve diabetes management and outcomes. There are some promising approaches and large-scale governmental efforts underway to curb the growing burden of type 2 diabetes in Latin America. While some of these interventions have been rigorously evaluated, further research is warranted to determine their effectiveness, cost, and scalability in this region.

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Implementation of a systematic approach to diabetes in primary care in Bahia, Brazil improves metabolic outcomes: PRODIBA—Programa de Interiorização da Assistência ao Diabetes na Bahia (Project for Dissemination of Diabetes Care in the State of Bahia)

Abstract: SDM customized algorithms are effective, practical and easy to use in primary healthcare teams with very limited resources.

Cited by 5 publications

References 19 publications

Current literature in diabetes

Current literature in diabetes

Efficacy of a staged diabetes management programme in achieving glycaemic goal in a low socio‐economic Hispanic population

Public Policies and Interventions for Diabetes in Latin America: a Scoping Review

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