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AimTo assess the effectiveness of the Diabetes Project in Davao City, Philippines, regarding diabetes care access, diabetes management and cardiovascular risk factors. The project was developed in accordance with the Chronic Care Model (CCM) framework.MethodsA non-randomized cross-sectional survey was conducted in nine intervention and five control Barangays (villages). People with diabetes aged ≥20 years were interviewed using a structured questionnaire; height, weight, waist circumference, and blood pressure were measured; HbA1c was tested with a NSGP-certified point-of-care device. Logistic regression models were used to compare the two groups.ResultsThe intervention group (n=503) scored better than the controls (n=136) on the following (OR, 95% CI): percentage of patients taking metformin (1.5, 1.0-2.2); and in the last 12 months: laboratory test for fasting blood sugar (1.6, 1.1-2.3), HbA1c (6.0, 2.4-15.1), lipid profile (1.7, 1.1-2.5), nutritionist visit (1.6, 1.0-2.5) and therapeutic education session (2.7, 1.8-4.0). Glycemic control (HbA1c<7%) was also better in the intervention Barangays (1.6, 1.0-2.4). There were no statistical differences between the two groups for number of visits, and levels of other cardiovascular risk factors.ConclusionsOur findings support the effectiveness of implementing the CCM framework in a low-to-middle income country on glycemic control and diabetes management.

Original publication

DOI

10.1016/j.diabres.2014.01.026

Type

Journal article

Journal

Diabetes research and clinical practice

Publication Date

04/2014

Volume

104

Pages

189 - 195

Addresses

Prevention and Health Unit, Handicap International Federation, Lyon, France; INSERM UMR1094, Tropical Neuroepidemiology, Limoges, France; Univ Limoges, School of Medicine, Institute of Neuroepidemiology and Tropical Neurology, CNRS FR 3503 GEIST, Limoges, France. Electronic address: sophie_pilleron@hotmail.com.

Keywords

Humans, Diabetes Mellitus, Body Weight, Blood Glucose, Blood Pressure Determination, Long-Term Care, Prevalence, Risk Factors, Retrospective Studies, Cross-Sectional Studies, Program Evaluation, Developing Countries, Politics, Adult, Aged, Middle Aged, Philippines, Female, Male, Young Adult, Surveys and Questionnaires