Endocrine Abstracts

Introduction: Despite the emergence of all new means of control and treatment of type 1 diabetes (T1DM), the achievement of target indicators of glycemia remains a serious problem, which leads to the development of chronic complications. Therapeutic training of the basics of life with diabetes allows patients with T1DM to improve glycemic control.

Target: Evaluate the influence of individual learning at the Diabetes School on HbA1c.

Methods: For the study were selected 103 patients in the Minsk City Clinical Endocrinological Center. The selection criterion was the nonattendance of the target HbA1c. The average HbA1c was 9.26% (± 1.51%). Men amounted to 33.98% (n=35), women 66.02% (n=68). Average age 36.9±11 years. Diabetes experience 17.2±9.7 years. All patients in the past were trained under the standard program of the Diabetes School.

Results: Each patient underwent individual counseling with a teacher of the Diabetes school. The first control of HbA1c showed a decrease in its average level to 8.87±1.47% (P=0.025). The difference with the starting indicator HbA1c is 0.39%. Only 94 patients participated in the second control of the HbA1c. The average level of HbA1c was 9.02±1.48 % (P=0.037), which is 0.25 % less than HbA1c before consultation, but already higher than after 1 control of HbA1c. Only 46 people have reached a persistent decrease in HbA1c after 1 and 2 control. The average level of HbA1c was 8.62±1.43 % (P=0.016).

Conclusions: Individual consultations at the Diabetes School improve glycemic control One consultation is not enough to achieve the goals of HbA1C in the long term It is necessary to develop individual learning standards for its implementation in everyday practice.