Background: Diabetes is a complex condition, requires multifaceted approaches, where self-management is an essential element. Innovative technology approaches offer a great promise. The Continuous subcutaneous insulin infusion (CSII) has its benefits already well described. CSII is complex for both, patients and professionals, requiring a high level of motivation/engagement. There are very few specialized centers in our country where the CSII is not part of the public health system protocols; therefore, patients receive CSII by lawsuit, with increased costs and without proper follow-up. Objective: To describe the Structured Program for Assistance to users of CSII (DM1), in Specialized Center
Method: increased legal decisions and related costs without: proper training, economic control, and adequate clinical follow-up; The Health Secretariat of our State has created the Structured Care Program with Clinical Inclusion/Follow-up Clinical Protocols, Educational Protocols: Strategies for Assessing/Encouraging Adherence and Self-Management skills development tools at the specialized Center for follow-Up users and families, focusing on: metabolic control and independence
Results: Started September 2018 with 14 patients, 56% male, average age 23 years, initial average A1C 8.7% (5.8% to 12.1%). June 2019 - 46 patients, 66% women, average age 22,9 years, average A1C 7,84% (5,4 and 9,7%).
Conclusion: Clinical benefits and cost-effectiveness are only possible with the structuring of care, when the CSII is correctly programmed and the user is able to make appropriate decisions and manage problems. Education is structured, curriculum-based that prepares the individual to deal with the worst case scenario.