Management of diabetes mellitus and its complications – comparative study - between a Romanian and a German Diabetes Care Center Author: Feier Ingrid Coordinator:

Slides:

Advertisements

Similar presentations

10 Points to Remember for the Management of Overweight and Obesity in Adults Management of Overweight and Obesity in Adults Summary Prepared by Elizabeth.

Advertisements

THE ACTION TO CONTROL CARDIOVASCULAR RISK IN DIABETES STUDY (ACCORD)

Foos et al, EASD, Lisbon, 13 September 2011 Comparison of ACCORD trial outcomes with outcomes estimated from modelled and meta- analysis studies Volker.

A Brief Overview of Diabetes and the American Diabetes Association

Diabetes: The Numbers Michigan Diabetes Partners in Action and Michigan Department of Community Health Diabetes: The Numbers Adapted from the National.

Automatic Detection of Excessive Glycemic Variability for Diabetes Management Matthew Wiley, Razvan Bunescu, Cindy Marling, Jay Shubrook and Frank Schwartz.

Al-Fada AA & Bin Abdulrahman KA, King Saud University, Riyadh, Saudi Arabia Assessment of Care for Type 2 Diabetic Patients at the PHC Clinics of a Referral.

Diabetes Mellitus Type 2

Facts and Fiction about Type 2 Diabetes Michael L. Parchman, MD Department of Family & Community Medicine September 2004.

Only You Can Prevent CVD Matthew Johnson, MD. What can we do to prevent CVD?

RCS 6080 Medical and Psychosocial Aspects of Rehabilitation Counseling Diabetes and PVD.

Hemoglobin A 1c in Hemodialysis Patients Source: Ix JH. Hemoglobin A1c in hemodialysis patients: Should one size fit all? Clin J Am Soc Nephrol. 2010;5:1539–1541.

DIABETES Power over Diabetes Presented by: Regina Weitzman, MD.

Source: Site Name and Year IHS Diabetes Audit Diabetes Health Status Report ______Site Name_________ Health Outcomes and Care Given to Patients with Diabetes.

Diabetes Mellitus Ibrahim Sales, Pharm.D. Assistant Professor of Clinical Pharmacy King Saud University

The Global Burden of Diabetes Dr. Naeem Zahid MD, PhD, MBA.

Diabetes Mellitus as a health problem in Sri Lanka

Epidemiology of Diabetes Mellitus by Santi Martini Departemen of Epidemiology Faculty of Public Health University of Airlangga.

TREAT TO TARGET IN DIABETES: An Alternative pathway

Pattern of Diabetes Emergencies among adult Yemeni Diabetic Patients Dr. Zayed Atef Faculty of Medicine Sana’a University.

Effect of Hypertension and Dyslipidemia on glycemic control among Type 2 Diabetes patients in Thailand Dr. Mya Thandar Dr.PH. Batch 5 1.

Presented by Dr. Soe Sandi Tint

YMCA’s Diabetes Prevention Program

An Innovative Approach to Managing Diabetes in a Large Public Health System Donna J. Calvin, PhD, FNP-BC, CNN Post Doctoral Research Associate University.

Routine Care Treatment of Type 2 Diabetes in Germany (DETECT Study) Tatjana Stojakovic 1, Hubert Scharnagl 1, Franz Freisinger 1, Andreas Tiran 1, David.

Page 1 Author: Bokor Emőke – Anita (University of Medicine and Pharmacy Tîrgu-Mure, General Medicine, 6 th year) Supervisor: Dr. Germán - Salló Márta,

Diabetes in Europe By: Vincent Isby Brandy Jones Deion Robinson Darien Dufachard.

Effect of Hypertension and Dyslipidemia on glycemic control among Type 2 Diabetes patients Dr. Mya Thandar.

Farid Saad Euro Weight Loss-2015 Frankfurt, Germany August 18 – 20, 2015.

Dr. Abdulraziaq Al-Madani Diabetes Complications in the Gulf Countries.

Effect of Hypertension and Dyslipidemia on glycemic control among Type 2 Diabetes patients in Thailand Dr. Mya Thandar DrPH Batch 5 1.

Glucose Control and Monitoring

DIABETES STORY LSSI Alum, 2009 Jennifer Muñoz, Del Mar Union School District.

PowerHour Information 03/09/2011.  Background  Description  Vision  Mission  Measurements  Participation Requirements.

Assessing Changes in Diabetes Management and Diabetes Complications in Utah Ladene Larsen, RN Barbara Larsen, RD, MPH William Stinner, Ph.D. Sandra Assasnik,

Diabetes Update Division of Endocrinology Department of Medicine Wayne State University Medical School Detroit, Michigan Part 1 of 3.

Diabetes Mellitus 101 for Cardiologists (and Alike): 2015

Mrs. Watcharasa Pitug ID The Association between Waist-to-Hight ratio, waist circumference,and Body Mass Index as Risk Factors for Chronic.

The association between serum CRP, total cholesterol, triglycerides and coronary artery disease Beata Virginas, Timea Gal.

In The name of God. Diabetes epidemiology: Reflecting your clinic?

Prevention of complications of endocrine disorders R.Fielding Department of Community Medicine, HKU.

Do continuity and co-ordination of care influence quality of care and health outcomes? Stephen Campbell, David Reeves, Elizabeth Middleton, Martin Roland.

Diabetes Mellitus 101 for Cardiologists (and Alike): 2015

Diabetes Care in Turkey Prof. Dr. Taner Damcı Istanbul University Cerrahpaşa Medical Faculty Department on Endocrinology Metabolism and Diabetes.

Treatment of Hypertension in Adults With Diabetes DR AMAL HARFOUSH.

Helping Medical Students Counsel Patients With Uncontrolled Type II Diabetes: An Innovative Approach Alice Fairman Daniels, MD,MS Assistant Professor Cook.

The MICRO-HOPE. Microalbuminuria, Cardiovascular and Renal Outcomes in the Heart Outcomes Prevention Evaluation Reference Heart Outcomes Prevention Evaluation.

IDF EUROPE GA MEETING MUNICH,2005 SURVEY ON DIABETES CARE IN EIGHT CENTRAL EASTERN EUROPEAN COUNTRIES (THE DEPAC STUDY)

Fifth year medical student Phramongkutklao College of Medicine The Study of Prevalence and associated factors of Diabetic retinopathy in the Diabetic patients.

Background notes Audience: diabetes professional (entry level), patients with diabetes First slide: ADD your name/institution ‘Sponge bob’ slide: hemoglobin.

OVERVIEW OF THE OBESITY CRISIS. OVERVIEW OF THE OBESITY CRISIS A worldwide phenomenon Affects all nationalities, ages, both genders Unlike deadly diseases.

Regression coefficient (b) RESULTS AND DISCUSSION

Prevention Diabetes.

Mrs. Watcharasa Pitug ID

US Medical Professionals’ Knowledge of the Diabetes Control and Complications Trial Austin Bach, DO, MPH, Mohamad ElChurafa, BS, Daniel Solano, DO, Marcos.

Diabetes Health Status Report

Bonnie Sanderson, PhD, RN

Macrovascular Complications Microvascular Complications

National Diabetes Strategy

Goals. Achieving HbA1c Goals: Applying Guidelines to Intensify Therapy in Patients With Diabetes.

Prevention Diabetes Dr Abir Youssef 29/11/2018.

Epidemiology of Diabetes Mellitus

Innovative ICT for patient empowerment and self-management for patients with type 2 diabetes mellitus Ozan BEYHAN, MOH TR.

Screening, enrollment, and randomization of study participants (BMI, body mass index; CTG, conventional therapy group; HbA1c, glycated hemoglobin; HDL-C,

(A) Rate of achieving targets for glycated hemoglobin (HbA1c), blood pressure (BP), and lipids in all subjects and (B) prevalence of nephropathy, retinopathy,

Enrollment of patients.

An ACCORD BP sub-analysis HR: 1.06; 95%CI: ; P=0.61

An ACCORD BP sub-analysis HR: 1.06; 95%CI: ; P=0.61

Prevalence of clinically significant microvascular (green) and clinically significant macrovascular (yellow) disease alone and combined microvascular and.

Associations of body mass index (BMI) levels with achieving targets for glycated hemoglobin (HbA1c), blood pressure (BP), and lipids in the upper panels.

Presentation transcript:

Management of diabetes mellitus and its complications – comparative study - between a Romanian and a German Diabetes Care Center Author: Feier Ingrid Coordinator: Dr. Szabó Mónika

Background In million people worldwide have diabetes (IDF), 592 million in leading cause of death in the world in 2030 (WHO) Leading cause of blindness, amputation and kidney failure (WHO) The organization of diabetes care is crucial in the management

Guidelines for the optimal management - valid equally for every country in the European Union

Management of diabetes - similarities - 1.HbA1c: Measurement frequency - at least 2 times each year in patients who are meeting treatment targets and have stable glycemic control - quarterly in patients whose therapy has changed or who are not meeting glycemic targets Value - < 7 % 2.Visit frequencies: times/year 3.Complication screening times/year 4.Coverage of diabetes care and medication - For free

Management of diabetes - differences - RomaniaGermany Structure of Diabetes Care Center 1 doctor+1 assistant/1600 patients 1 doctor+2 diabetes educators+2 diabetes- assistants+2 „wound- assistant“/1400 patients Structured education-Individual, group education/training sessions Test coverage100 tests/3 months for patients treated with insulin OAD (insulinotrop): 50 tests/3 months Insulin: ICT: 400 tests/3 months CT: 200 tests/3 months BOT: 100 tests/3 months Financial background of the patients lowerhigher

Objective To investigate the differences and their consequences in diabetes management in a Romanian and German Day Care Center

Material and Method Patients suffering from type 2 diabetes: 100 from Târgu Mures, Romania 100 from Mülheim, Germany We compared following parameters: Glycated hemoglobin Body mass index Waist circumference Diabetic polyneuropathy, retinopathy, nephropathy Stroke, coronary heart disease (CHD) Health education, training sessions

Results

P=NS 106,84 30,17

HbA1c

Microvascular complications of diabetes 73% 22% 54% 7%8%

Macrovascular complications of diabetes 5%

Health education, training sessions

Conclusions No significant differences concerning HbA1c, waist circumference, BMI The prevalence of microvascular complications (polyneuropathy, retinopathy, nephropathy) in the Romanian group was significantly higher inadequate training and monitoring of HbA1c (HbA1c was measured 3 times more frequently in the German group) Macrovascular complications: Stroke -> same prevalence in both groups, CHD (coronary heart disease ) -> significantly higher in the Romanian group Importance of diabetes educators/ assistants

Thank you for your kind attention!