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Empowering Patients with Type 1 Diabetes through a Multidisciplinary Team-assisted, Technology-Enabled Education
Geethu Sanal1, Sajna Shijin1, Viji Krishna1
1Department of Diabetology, Jothydev's Diabetes and Research Centre, Mudavanmugal, Thiruvananthapuram, Kerala, India.
Current Diabetes Reviews
|May 27, 2022
Summary
Multidisciplinary team (MDT) assistance combined with technology significantly improved carbohydrate counting for type 1 diabetes (T1D) patients, leading to better blood glucose control and fewer complications.
Area of Science:
- Endocrinology
- Metabolic Diseases
- Digital Health
Background:
- Carbohydrate counting is crucial for managing type 1 diabetes (T1D) but presents challenges.
- The Diabetes Tele Management System (DTMS) offers telemedicine support via a multidisciplinary team (MDT).
- Technology-enabled education programs can aid T1D glycemic control.
Purpose of the Study:
- To evaluate the effectiveness of MDT-assisted, technology-enabled carbohydrate counting in T1D patients.
- To assess the impact of continuous MDT support on glycemic control and patient outlook.
Main Methods:
- Fifty T1D patients (5-35 years, HbA1c ≥7) were enrolled.
- The test group received MDT-assisted, technology-enabled carbohydrate counting training.
- The control group performed carbohydrate counting independently with available technologies.
Main Results:
- MDT-assisted patients showed significantly reduced HbA1c and blood glucose levels.
- Hyperglycemia and hypoglycemia episodes were decreased in the MDT-assisted group.
- Patients receiving MDT support reported a more positive outlook.
Conclusions:
- Carbohydrate counting remains difficult for T1D youth, with counting errors impacting clinical outcomes.
- MDT expert assistance improves carbohydrate counting accuracy in T1D.
- Enhanced carbohydrate counting through MDT support leads to better glycemic control and fewer complications.
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