ESPE Abstracts

Aim: The work was initiated to assess efficacy of training and achievement of therapy targets in children and adolescents with type 1 diabetes mellitus in ‘Diabetes Schools’.

Method: The five-day training course was conducted in ‘Type 1 Diabetes School’ at the Scientific-Research Institute of Cardiology and Internal Diseases, Kazakhstan Public Health Ministry (Almaty). The training was conducted by means of a structured program containing all appropriate sections. Before and after training course all participants were tested with a questionnaire containing 30 key questions for self-control. On the basis of the findings children and adolescents with type 1 diabetes mellitus were divided into groups. 54 of 80 children and 38 of 57 adolescents were preliminary trained, 26 children and 19 adolescents got no training. Carbohydrate metabolism was assessed according to the level of glycemia (laboratory and self-monitoring with the Akku-check Nano swab). DCA Vantage Siemens (USA) was used to measure glycated hemoglobin (HbA1c) by means of latex agglutination inhibition. Certified by the National Glycohemoglobin Standardization Program this method became the reference one. It helps demonstrate the predicting role of HbA1c level as a criterion for assessment of chronic glycemia and achievement of therapy targets in children and adolescents with type 1 diabetes mellitus.

Results: Frequency of target HbA1c level (≤7.5%) achievement in the trained patients was 68%. Among children who got no preliminary training target HbA1c level was found in 12%. Among trained adolescents 58% achieved compensation. The target HbA1c level was found in 11% of adolescents who got no training.

Conclusion: Frequency of target HbA1c level (≤7.5%) achievement was found in 68% of children with type 1 diabetes mellitus having received preliminary training at ‘Diabetes School’ to be significantly higher (P<0.001) than the one in the group of patients who got no preliminary training (12%). Among adolescents target HbA1c level achievement was observed in 58% of the trained patients to be significantly higher (P<0.001) as compared with those who got no preliminary training (11%). Better compensation and higher frequency of target HbA1c level achievement in children as compared with those among adolescents confirms the role of family in the type 1 diabetes mellitus control.