Multidisciplinary education is essential for T1D management. We evaluated the effects of a multidisciplinary program for initiation and follow-up of SAP with PLGS (Minimed 640G®) on glycemic parameters in adults with T1D.
All patients that went through a 6 week initiation program and with more than 6 months follow-up of SAP-PLGS Therapy at our clinic were invited. Time in range 70-180 mg/dL (TIR) and times bellow 70 and 54 mg/dL (TBR70 and TBR54, respectively) for the last month were obtained from the pump system. A1c was measured by DCA assay. Frequency of controls by medic, nurse and dietitian was obtained from our clinical registries. Data was analyzed using parametric tests.
78 subjects were included with mean age 34.3 ± 14.0 years, 16.8 ± 9.6 years of disease duration and BMI 24.8 ± 3.2 kg/m2. TIR was 70.1 ± 9.7%, TBR70 3.5 ± 2.1% and TBR54 0.7 ± 0.9%, with no significant differences according to length of follow-up. Current measured A1c was 6.77 ± 1.1% compared with 7.20 ± 0.94% on initiation (p= 0.027). Frequency of controls with any healthcare professional was 5.8 ± 1.6 times per semester, with significantly more nurse controls when comparing patients with TIR>70% vs. TIR<70% (2.6 vs 1.9 controls/semester, p=0.04).
Adults with T1d on SAP-PLGS can successfully achieve consensus TIR, TBR70 and TBR54 goals with 6 controls/semester by a HCP in a multidisciplinary team. This highlights the importance of team follow-up for successful therapy.