Intensive Diabetes Education Program and Multidiscip
linary Team Approach in Management of Newly Diag
nosed Type 1 Diabetes Mellitus : A Greater Patient
Benefit, Experience at Siriraj Hospital
SUPAWADEE LIKITMASKUL, M.D.*, JIRAPA WEKAWANICH, M.Sc.**,
RENU WONGARN, B.A.***, KATHAREE CHAICHANWATANAKUL, B.Sc.*,
PORNPIMOL KIA TTISAKTHA VEE, B.Sc. *, SAROJ NIMKARN, M.D. F.A.A.P.*,
SANGTONG PRA YONGKLIN, B.Sc.****, LINDA WEERAKULWATTANA, M.Sc. *,
DUANGKAMON MARKMAITREE, B.N.S.****, YUPIN RITJAREAN, B.N.S.****,
WA NLA POOKPUN B.N.S. ****, LUEPHORN PUNNAKANTA, M.D.*,
KITTI ANGSUSINGHA, M.D.*, CHANIKA TUCHINDA, M.D., F.A.A.P.*
Affiliation : * Division of Endocrinology and Metabolism,
** Division of Child Psychiatry,
*** Division of Nutrition,
**** Pediatric Nursing, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok
10700, Thailand.
AbstractIt is accepted worldwide that an effective multidisciplinary management team is essential
for providing comprehensive self-management training to type l diabetics and their families.
Therefore, the authors developed an intensive multidisciplinary education team that included pediatric
endocrinologists, a dietitian, a psychologist, nurses, scientists and volunteers in the Department of
Pediatrics, Siriraj Hospital in August 1996. This study aimed to analyze twenty-four newly diag
nosed diabetics who underwent this specified program and multidisciplinary team approach in com
parison to twenty-eight diabetic patients who were diagnosed before the program and team were
established in order to see whether the length of hospitalization had been reduced and to compare
the readmission rates of recurrent DKA with previous patients.
The results demonstrated that by using the intensive program and multidisciplinary team
=
the average length of admission was reduced from 36.04 days to 17.63 days (p value 0.03).
The readmission rate in the first year after diagnosis was also reduced from 17.8 per cent to 4
per cent. Concerning diabetes control, the average HbA c level showed significantly better control.
1
Therefore, this study demonstrated a successful team and program for newly diagnosed Thai
childhood and adolescent diabetics and also emphasized that a multidisciplinary team approach
with an effectively intensive education program is important in helping diabetics and families cope
with their emerging problems and receive the long-term benefits of effective self-care.
Keywords : Type 1 Diabetes Mellitus, Intensive Diabetes Education, Multidisciplinary, Childhood
Diabetes
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