Profile and clinical evolution of patients with type 1 diabetes mellitus: a longitudinal study at a secondary reference center in Minas Gerais

• Autor(a) principal: Agma Leozina Viana Souza
• Data de Publicação: 2018
• Outros Autores: Aleida Nazareth Soares, Tatiane Géa Horta, Alexandra Dias Moreira, Janice Sepúlveda Reis
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: http://dx.doi.org/10.5935/1415-2762.20180039; http://hdl.handle.net/1843/59828; https://orcid.org/0000-0002-4477-5241
• topic: Diabetes mellitus type 1; Secondary health care; Medical record; Diabetes mellitus tipo 1; Atenção secundária à saúde; Registros médicos

The aim of this study was to evaluate the profile and clinical evolution of patients with type 1 Diabetes Mellitus (T1DM) at a Secondary Reference Center in Minas Gerais. This is a longitudinal study with 174 individuals with T1DM treated at a Secondary Reference Center in Minas Gerais between 2010 and 2015. The studied variables were: Socio-demographic characteristics, time with diabetes, treatment, comorbidities, glycatedhemoglobin (A1c) and LDL cholesterol. Paired t-test and McNemar test were used for the annual comparisons of A1c and LDL-c, considering asignificance level of 5%. The results showed that 5.7% of the patients were is use of continuous insulin infusion system, 61.5% of NPH and 32.8%of glargine; 47.1% of the patients used statin; 63.21% came to the service with A1c values above 8% and 27.0% above 10%. At the end of the firstyear of follow-up, this percentage decreased to 49.9%, with a greater reduction of those with A1c above 9%. There was a significant decrease inA1c averages (9.01 ± 2.46 in 2010 and 8.2 ± 1.74 in 2011, p <0.001), which remained unchanged on the following years. There was also a significantreduction of LDL-c over the entire follow-up period (p <0.005). We concluded that the multidisciplinary care of patients with T1DM contributedto the improvement of metabolic parameters on the first year of follow-up.