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Implementation and Outcomes of Multidisciplinary Diabetes Management Program Among Type 2 Diabetic Patients: A
Youssef H Ahmed1, Hussain S Elbadawi2, Intessar Sultan3
1Department of Health Sciences, Syreon Middle East LLC, Alexandria, EGY.
Cureus
|June 24, 2024
Summary
Multidisciplinary diabetes management programs (DMP) in Saudi Arabia improved glycemic control in type 2 diabetes mellitus (T2DM) patients compared to physician-led care (PLC) after one year. Lipid control was similar between both care models.
Area of Science:
- Endocrinology
- Public Health
- Healthcare Management
Background:
- Current guidelines advocate for shifting from physician-led care (PLC) to multidisciplinary health care (MHC) for type 2 diabetes mellitus (T2DM).
- Real-world implementation of MHC programs for T2DM in Saudi Arabia remains understudied.
- This study assesses the implementation and outcomes of a T2DM multidisciplinary diabetes management program (DMP) versus PLC in a Saudi Arabian general hospital.
Purpose of the Study:
- To evaluate the real-world implementation of a DMP for T2DM patients.
- To compare the effectiveness of DMP versus PLC in achieving glycemic and lipid control targets.
- To identify implementation gaps within the DMP for future improvement.
Main Methods:
- A comparative patient file review study analyzed medical records of T2DM patients from two private care centers.
- Effectiveness was measured by achieving glycated hemoglobin (HbA1c) <7% and low-density lipoprotein-cholesterol (LDL-c) <70 mg/dl after one year.
- Implementation of DMP components, including personal health coordination, nutrition, dental, and foot care, was assessed.
Main Results:
- Eight hundred thirty-four records were reviewed (537 DMP, 279 PLC).
- DMP showed significant improvements in HbA1c (-0.5% vs -0.2%) and LDL-c (-10 vs -5 mg/dl) compared to PLC.
- Glycemic control targets were met by a higher percentage of patients in the DMP (49.4% vs 38.7%), while lipid control was similar (28.7% vs 30%).
- Implementation gaps were noted in nutrition (65.7%), dental exam (64.8%), and foot care (58.3%) within the DMP.
Conclusions:
- One year of DMP demonstrated superior glycemic control in T2DM patients compared to PLC, despite implementation gaps.
- Lipid control outcomes were comparable between the DMP and PLC groups.
- Further research into DMP implementation gaps is recommended to enhance program sustainability and generalizability in Saudi Arabia.
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