title: [The effect of a program of care for the diabetic on control of the disease].
abstract: OBJECTIVE
  To study the association between the application of a diabetic care programme and modifications in glycated haemoglobin and the Body Mass Index.
  
  
  METHODS
  Descriptive study.
  
  
  METHODS
  Two health centres.
  
  
  METHODS
  199 patients were studied, the total number of type II diabetics found in three general medicine practices.
  
  
  METHODS
  Patients followed, at different levels, a programme of diabetic care. Variation of glycated haemoglobin and the Body Mass Index were measured in each patient during the 1991-1992 period. These were then related to their continuation in the programme and whether they were included in this programme at the moment of the examination.
  
  
  RESULTS
  The average drop in glycated haemoglobin was -15.3% (12.2 +/- 18.4) (p < 0.001). Average variation of the Body Mass Index was 0.2% (-0.6 +/- 1.00), not significant. Average drop in glycated haemoglobin in those included was -16% (12.5 +/- 19.5) (p < 0.001) and in those not included, -12.6% (5.3 +/- 19.9) (p < 0.001), no significant difference. The correlation between the degree of continuation in the programme and the variation of glycated haemoglobin had a r = -0.04 (p = 0.7) and between the degree of continuation and variation in the Body Mass Index, a r of 0.15 (p = 0.06). When the initial value of glycated haemoglobin was equal to or above 7.5, its average drop was -22.3% (17.8 +/- 26.9) (p < 0.001).
  
  
  CONCLUSIONS
  The drop in glycated haemoglobin is significant and more important, the greater the initial value. But it has not been possible to link it with the level of continuance in the programme nor with whether patients were included in the programme. The Body Mass Index does not vary.
authors.affiliation: Unidad Docente de Medicina de Familia y Comunitaria, Logroño.
authors.forename: F
authors.initials: F
authors.lastname: Fernández Suárez
authors.forename: A
authors.initials: A
authors.lastname: Trueba
authors.forename: J A
authors.initials: JA
authors.lastname: Ferrús
authors.forename: J
authors.initials: J
authors.lastname: Olloqui
authors.forename: N
authors.initials: N
authors.lastname: Lorente
authors.forename: A
authors.initials: A
authors.lastname: Leoz
mesh_terms: D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D015992:Body Mass Index; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D011320:Primary Health Care; D012307:Risk Factors; D013030:Spain
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin
vernacular_title: Influencia de un programa de atención al diabético sobre su control.