Navegando por Palavras-chave "Diabetes mellitus, type 1"
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- ItemSomente MetadadadosDesenvolvimento de um método imuno-enzimático para detecção de anticorpos anti-insulina(Universidade Federal de São Paulo (UNIFESP), 1987) Moises, Regina Celia Mello Santiago [UNIFESP]; Russo, Ewaldo Mario Kuhlmann [UNIFESP]
- ItemAcesso aberto (Open Access)Glycemic control in adult type 1 diabetes patients from a brazilian country city: comparison between a multidisciplinary and a routine endocrinological approach(Sociedade Brasileira de Endocrinologia e Metabologia, 2006-10-01) Mourão-júnior, Carlos A. [UNIFESP]; Sá, João Roberto de; Guedes, Olívia M. Silveira [UNIFESP]; Dib, Sergio Atala [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal de Juiz de Fora Departamento de FisiologiaOBJECTIVE: To evaluate the metabolic control of a cohort of adult type 1 diabetes mellitus (T1DM) patients assisted in a public Diabetes Center (DC) that follows the rules of a national diabetes society. METHODS: We compared for one year the metabolic control and the characteristics of 175 T1DM patients attended by a multidisciplinary team in a DC (test group) with 30 patients assisted only by endocrinologists at a public endocrinology outpatient center (control group). RESULTS: The test group presented a larger proportion of well-controlled patients (p= 0.002). The proportions (test x control group) were as follows: 51.4% x 16.7% in the subgroup with A1C < 7%; 21.7% x 36.7% in the subgroup with A1C between 7.1% and 8.0%; and 26.9% x 46.7% in the subgroup with A1C > 8%. Patients assisted in the DC presented a likelihood 4.38 times higher of reaching levels of A1C up to 7%. CONCLUSIONS: This study shows the effectiveness of a DC and emphasizes the importance of education, adherence and multidisciplinarity as cornerstones for the treatment, showing that in developing countries it is possible to treat T1DM with satisfactory results.