Effectiveness of a Multidisciplinary Treatment and Structured Education Programme

Effectiveness of a Multidisciplinary Treatment and Structured Education for Type 1 Diabetes Patients

This trial compared an structured education programme and multidisciplinary treatment vs an standard treatment in type 1 diabetes patient, the Primary outcome is glycemic control at 6-month follow up and secondary outcome are cardiovascular risk factors control, diabetes related distress, anxiety and depressive symptoms, hypoglycemia awareness.

Both groups will received individualized treatment in the clinic, the intervention group will consist of 12 educational sessions during 4 months, and multidisciplinary treatment each month given by endocrinology, nutrition and psychology during 4 months, the control group will received education in outpatient clinic of endocrinology and will be sent as referral to specialties of nutrition and psychology as standard follow-up of the clinic.

Inclusion Criteria:

• Type 1 diabetes
• Diabetes duration >1 year
• BMI 18.5-40kg/m2
• A1c 6.5-13%

Exclusion Criteria:

• Pregnancy
• Dementia or severe cognitive impairment
• Uncontrolled psychiatric disorder
• Absence of >20% of the educational sessions