Long-term effectiveness of a type 2 diabetes comprehensive care program. The CAIPaDi model

Area of Science:

• Endocrinology
• Metabolic Diseases
• Patient Care Programs

Background:

• Type 2 diabetes requires ongoing management to achieve treatment goals.
• Comprehensive programs are needed to support patients in maintaining metabolic health.

Purpose of the Study:

• To evaluate the effectiveness of the CAIPaDi program for achieving and sustaining treatment goals in type 2 diabetes patients.
• To assess the program's impact on metabolic control, patient empowerment, and quality of life.

Main Methods:

• The CAIPaDi program involved 9 interventions over 7 hours, including 4 initial visits and 2 follow-up visits at 12 and 24 months.
• Individualized strategies were developed based on patient profiles to address barriers and enhance self-efficacy.
• Outcomes measured included HbA1c, blood pressure, LDL cholesterol, and specialized evaluations (renal, eye, foot, dental).

Main Results:

• Significant improvements in HbA1c, blood pressure, and LDL cholesterol were observed post-intervention and maintained at 12 and 24 months.
• High percentages of patients achieved target HbA1c (<7%), BP (<130/80 mmHg), and LDL cholesterol (<100 mg/dL) levels.
• Empowerment and quality of life scores improved, while anxiety and depression remained low.

Conclusions:

• The CAIPaDi program demonstrates sustained effectiveness in improving and maintaining treatment goals for type 2 diabetes.
• The program successfully enhances patient empowerment and quality of life.
• Comprehensive, individualized care is crucial for long-term type 2 diabetes management.