Cargando…

THU270 Efficacy Of Patient Support Program On Management Of Cardiovascular Risk Factors For Adults With Type 2 Diabetes Mellitus

Disclosure: A. Shah: None. S. Damse: None. P. Thiyagarajah: None. K. Soulat: None. T. Ahadome: None. Efficacy Of Patient Support Program On Management Of Cardiovascular Risk Factors For Adults With Type 2 Diabetes Mellitus. Type 2 diabetes mellitus (T2DM) is a major risk factor for cardiovascular di...

Descripción completa

Detalles Bibliográficos
Autores principales: Shah, Abhishek, Damse, Sneha, Thiyagarajah, Premalatha, Soulat, karine, Ahadome, Theo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10553584/
http://dx.doi.org/10.1210/jendso/bvad114.706
_version_ 1785116205922648064
author Shah, Abhishek
Damse, Sneha
Thiyagarajah, Premalatha
Soulat, karine
Ahadome, Theo
author_facet Shah, Abhishek
Damse, Sneha
Thiyagarajah, Premalatha
Soulat, karine
Ahadome, Theo
author_sort Shah, Abhishek
collection PubMed
description Disclosure: A. Shah: None. S. Damse: None. P. Thiyagarajah: None. K. Soulat: None. T. Ahadome: None. Efficacy Of Patient Support Program On Management Of Cardiovascular Risk Factors For Adults With Type 2 Diabetes Mellitus. Type 2 diabetes mellitus (T2DM) is a major risk factor for cardiovascular disease. Patients with T2DM have 2 to 3 times the risk of cardiovascular mortality and morbidity.1 This study aimed to assess the efficacy of an intensive intervention strategy in improving cardiovascular risk factors, HbA1C level in high-risk patients with T2DM. Methods: An interventional program with a multi component strategy was delivered by Wellthy therapeutics over a period of 40 weeks. The program had interventions including customized dietary plans, behavioral interventions, including stress management and coping skills training, lifestyle counseling, disease awareness and self-management training of symptoms at home. Interventions were initiated by certified health coaches via chats and calls. A high-risk diabetic cohort whose HbA1C greater than 10% were recruited by convenience sampling method. Intervention Statistical analysis was done using SPSS version 21. Results: The mean age of patients was 48.49±14.46. The mean of HbA1C, Total Cholesterol, LDL, Triglycerides, BMI at baseline was 11.4, 195.42, 125.9, 247.26, 26.77 respectively. The mean of HbA1C, Total Cholesterol, LDL, Triglycerides, BMI at the endline was 9.70, 181.98, 119.82, 195.34, 25.95 respectively. The effect of the Paired Ttest witnessed that intensive intervention strategy had a statistically significant improvement in effect on the cardiovascular risk factors from baseline to follow up p<0.05.(HbA1C p=.001, Total cholesterol p=.019, Triglycerides p=.002, BMI p=.007). Conclusion: This program played a highly significant role in managing cardiovascular risk factors by training patients in self-monitoring, medication adherence, and knowledge on disease awareness. There is increasing evidence that these interventions can support modification of lifestyle risk factors among people with coronary T2DM; however, existing interventions are disparate. These types of interventions play a potential role in meeting the individual needs and preferences to optimize self-management of their disease. Presentation: Thursday, June 15, 2023
format Online
Article
Text
id pubmed-10553584
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-105535842023-10-06 THU270 Efficacy Of Patient Support Program On Management Of Cardiovascular Risk Factors For Adults With Type 2 Diabetes Mellitus Shah, Abhishek Damse, Sneha Thiyagarajah, Premalatha Soulat, karine Ahadome, Theo J Endocr Soc Diabetes And Glucose Metabolism Disclosure: A. Shah: None. S. Damse: None. P. Thiyagarajah: None. K. Soulat: None. T. Ahadome: None. Efficacy Of Patient Support Program On Management Of Cardiovascular Risk Factors For Adults With Type 2 Diabetes Mellitus. Type 2 diabetes mellitus (T2DM) is a major risk factor for cardiovascular disease. Patients with T2DM have 2 to 3 times the risk of cardiovascular mortality and morbidity.1 This study aimed to assess the efficacy of an intensive intervention strategy in improving cardiovascular risk factors, HbA1C level in high-risk patients with T2DM. Methods: An interventional program with a multi component strategy was delivered by Wellthy therapeutics over a period of 40 weeks. The program had interventions including customized dietary plans, behavioral interventions, including stress management and coping skills training, lifestyle counseling, disease awareness and self-management training of symptoms at home. Interventions were initiated by certified health coaches via chats and calls. A high-risk diabetic cohort whose HbA1C greater than 10% were recruited by convenience sampling method. Intervention Statistical analysis was done using SPSS version 21. Results: The mean age of patients was 48.49±14.46. The mean of HbA1C, Total Cholesterol, LDL, Triglycerides, BMI at baseline was 11.4, 195.42, 125.9, 247.26, 26.77 respectively. The mean of HbA1C, Total Cholesterol, LDL, Triglycerides, BMI at the endline was 9.70, 181.98, 119.82, 195.34, 25.95 respectively. The effect of the Paired Ttest witnessed that intensive intervention strategy had a statistically significant improvement in effect on the cardiovascular risk factors from baseline to follow up p<0.05.(HbA1C p=.001, Total cholesterol p=.019, Triglycerides p=.002, BMI p=.007). Conclusion: This program played a highly significant role in managing cardiovascular risk factors by training patients in self-monitoring, medication adherence, and knowledge on disease awareness. There is increasing evidence that these interventions can support modification of lifestyle risk factors among people with coronary T2DM; however, existing interventions are disparate. These types of interventions play a potential role in meeting the individual needs and preferences to optimize self-management of their disease. Presentation: Thursday, June 15, 2023 Oxford University Press 2023-10-05 /pmc/articles/PMC10553584/ http://dx.doi.org/10.1210/jendso/bvad114.706 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the Endocrine Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Diabetes And Glucose Metabolism
Shah, Abhishek
Damse, Sneha
Thiyagarajah, Premalatha
Soulat, karine
Ahadome, Theo
THU270 Efficacy Of Patient Support Program On Management Of Cardiovascular Risk Factors For Adults With Type 2 Diabetes Mellitus
title THU270 Efficacy Of Patient Support Program On Management Of Cardiovascular Risk Factors For Adults With Type 2 Diabetes Mellitus
title_full THU270 Efficacy Of Patient Support Program On Management Of Cardiovascular Risk Factors For Adults With Type 2 Diabetes Mellitus
title_fullStr THU270 Efficacy Of Patient Support Program On Management Of Cardiovascular Risk Factors For Adults With Type 2 Diabetes Mellitus
title_full_unstemmed THU270 Efficacy Of Patient Support Program On Management Of Cardiovascular Risk Factors For Adults With Type 2 Diabetes Mellitus
title_short THU270 Efficacy Of Patient Support Program On Management Of Cardiovascular Risk Factors For Adults With Type 2 Diabetes Mellitus
title_sort thu270 efficacy of patient support program on management of cardiovascular risk factors for adults with type 2 diabetes mellitus
topic Diabetes And Glucose Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10553584/
http://dx.doi.org/10.1210/jendso/bvad114.706
work_keys_str_mv AT shahabhishek thu270efficacyofpatientsupportprogramonmanagementofcardiovascularriskfactorsforadultswithtype2diabetesmellitus
AT damsesneha thu270efficacyofpatientsupportprogramonmanagementofcardiovascularriskfactorsforadultswithtype2diabetesmellitus
AT thiyagarajahpremalatha thu270efficacyofpatientsupportprogramonmanagementofcardiovascularriskfactorsforadultswithtype2diabetesmellitus
AT soulatkarine thu270efficacyofpatientsupportprogramonmanagementofcardiovascularriskfactorsforadultswithtype2diabetesmellitus
AT ahadometheo thu270efficacyofpatientsupportprogramonmanagementofcardiovascularriskfactorsforadultswithtype2diabetesmellitus