title: [Effects of a revision program on the control of type 2 diabetics followed at the primary care level. Diabetes First program].
abstract: OBJECTIVE
  To analyze the evolution of the glycosylated hemoglobin and other parameters after performing a control program and follow-up by nurses to improve the control of the patients with type 2 diabetes mellitus (Diabetes First).
  
  
  METHODS
  Intervention study in type 2 diabetes mellitus patients from Murcia. The inclusion criterium was to be a type 2 diabetes mellitus patient badly controlled on diabetes parameters (glycosylated haemoglobin > or = 7%). We included 831 patients from 8 primary care centers. The program consisted of three visits (first one, after three months and after six months), where the patients received diabetic education.
  
  
  RESULTS
  The mean initial glycosylated haemoglobin value was 8.1% +/- 1.3%, after 3 months it decreased to 7.5% +/- 1.1%, and after 6 months from the first visit its value was 7.5% +/- 2.6%. There was a statistically significant (p < 0.001) difference between the initial glycosylated haemoglobin and the values three months later. There was not such a difference between the second and third visit. Total and low-density liporpotein cholesterol decreased significantly after 3 months (p < 0.05). High-density lipoprotein cholesterol and triglycerides showed no difference. Systolic and diastolic blood pressure significantly decreased after three months (p < 0.0001 and p < 0.005).
  
  
  CONCLUSIONS
  A simple nursing intervention program performed in primary care centers has a very positive impact on the control and treatment of patients with type 2 diabetes mellitus.
authors.affiliation: Unidad Docente de Medicina Familiar y Comunitaria, Gerencia de Atención Primaria, Murcia, España. arboleja@yahoo.es
authors.forename: Antonio
authors.initials: A
authors.lastname: Martínez Pastor
authors.forename: Mariano
authors.initials: M
authors.lastname: Leal Hernández
authors.forename: Ana
authors.initials: A
authors.lastname: Martínez Navarro
authors.forename: Ana Fátima
authors.initials: AF
authors.lastname: Navarro Oliver
authors.forename: Zoila
authors.initials: Z
authors.lastname: Lifante Pedrola
authors.forename: Mercedes
authors.initials: M
authors.lastname: Gómez Ruiz
mesh_terms: D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000451:nursing / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011320:Primary Health Care