EFFECT OF EDUCTION OF DIABETES ON CONTROL OF BP, B EFFECT OF EDUCTION OF DIABETES ON CONTROL OF BP, B.UREA, CREATININE AND FASTING B.SUGAR BY PATIENTS OF OPD OF HOSPITAL CENTRAL NAMPULA BY DR MADHUMATI VARMA

INTRODUCTION The Global report from the World Health Organization (WHO), published in 2016, estimated that 422 million of the adult population lives with diabetes, increased 4 times over in the adult population, compared to 108 million in 1980.

Mozambique, is located on the East coast of Africa (Wikipedia 2016) Mozambique, is located on the East coast of Africa (Wikipedia 2016). There are 274,700 diabetic patients and 9716 deaths due to diabetes, according to a report of 2015 (IDF 2015). There is the prevalence of obesity, poor knowledge regarding diabetes and lack of awareness of complication of diabetes. Most of the population uses traditional healer for treatment of diabetes. www.google.co.mz

SUMMARY Three education sessions were organized, at an interval of one month (baseline, first follow up and second follow up). Each participant was evaluated in each session regarding their BP, F.blood sugar, urea and creatinine was performed.

SUMMARY The statistical analysis showed strong significantly positive effects on controlling each of these parameters.

SO WHAT/PROBLEMS? Problem: This group of patients has completely depends on the diabetic pharmacological treatment of the government hospital pharmacy, generally poor health education regarding the facility of diabetes. www.google.co.mz

SO WHAT/PROBLEMS? Objective: There is a need for lifestyle modification, knowledge of diabetes and its complication, Adherence of treatment and its important www.google.co.mz

METHODS? * A sample size of 648 participants participated in the study. * The inclusion criteria and the exclusion criteria were fixed for participation in education of diabetes mellitus. * Among the educators were a diabetologist, dietician, psychologist, physiotherapist, and a diabetic nurse. * The education sessions were conducted on the day of the OPD of diabetes. Analysis of the data SPSS and Excel software 3 education sessions (baseline, first follow-up, second follow-up) and assesment of results before each session Consent, baseline information of patient collected

RESULTS & DISCUSSIONS Descriptive statistics :

RESULTS & DISCUSSIONS Regression, ANOVA analysis and post hoc Turkey test: linear regression , Post hoc Turkey test baseline, first follow up, Second follow up blood pressure, urea and creatinine compared with dependent variable second follow up fasting blood sugar are significant P < .005

RESULTS & DISCUSSIONS

RESULTS & DISCUSSIONS Mollaoğlu et al. (2009) emphasized repeated diabetic education sessions to control and improve metabolic parameters. Salinero-Fort et al. (2011), using experimental and control groups regarding diabetes education. Salinero-Fort et al., (2011), taken an experimental and control group, pre and post education of diabetes, effects which showed reduced in Systolic and diastolic blood pressure. Pereira et al., (2014), explained that education of diabetes assists in controlling metabolic control, reduction of blood pressure in the intervention group.  

CONCLUSION/FUTURE STEPS Each participant was evaluated in each session regarding their BP, blood sugar, blood urea and creatinine. The statistical analysis showed strong significantly positive effects on controlling each of these parameters. The present study found that educational intervention was highly effective in controlling blood pressure, as these had significantly decreased from baseline at the second patient follow up visit. psychological adjustment and their attitude to living with diabetes.

CONCLUSION/FUTURE STEPS Metabolic control (blood sugar, urea and creatinine) also showed a significant positive improvement from baseline at the second follow up visit. The knowledge provided by the education helped the participants to improve and change their lifestyle, especially their dietary and exercise habits, their However, a need remains to involve other departments in future studies,

CONCLUSION/FUTURE STEPS For example emergency and intensive care medicine, District hospitals and effect of education of diabetes of family members to control the diabetic of patient, In order to see effect of education of diabetes to improve the knowledge of diabetes in public for primary prevention of diabetes in society.

REFERENCES Mollaoğlu et al. (2009) Salinero-Fort et al. (2011) * Salinero-Fort, M., Santa, C., Arrieta-Blanco, F., Abanades-Herranz, J., Martín-Madrazo, C., Rodés-Soldevila, B. and Burgos-Lunar, de (2011) . Pereira et al., (2014), * Ricci-Cabello et al. (2014).  

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