The SA Journal Diabetes & Vascular Disease Vol 14 No 1 (July 2017)

VOLUME 14 NUMBER 1 • JULY 2017

SA JOURNAL OF DIABETES & VASCULAR DISEASE

DIABETES CARE MODEL

forgotten areas of diabetes management (such as podiatry and

annual eye assessments, among others) are reinforced.

Having data captured onto a specifically designed program

enables us to first assess the baseline state of control in the clinic

and then monitor changes in control in subsequent years. The results

of such comparisons will help us to objectively make any further

improvements as required. The initial study conducted by Pillay

al.

demonstrated sub-optimal diabetes control within this diabetes

clinic.

The overall diabetes control has improved significantly since

the multifaceted approach was fully incorporated into the clinic.

Conclusion

Diabetes care in this resource-limited clinic was inadequate, with

large numbers of patients consulted by only a few rotating doctors.

This scenario has now improved to include a multidisciplinary

team (including increased numbers of doctors) coupled with a

comprehensive and standardised approach to all patients consulted

at this clinic. Based on the promising clinical outcomes shown by

Pillay

et al.

in this clinic post implementation of the multifaceted

approach, this model could serve as a possible blueprint and

could easily be adapted to other clinics, and district and regional

hospitals in the country.

Data sheets could be completed in other

regional or district hospital diabetes clinics in the province and sent

to the central regional hospital for capturing into this specialised

computer program. This process will provide extensive information

on diabetic patients and their control within the province. Control

of this ‘diabetes puzzle’ need not be an insurmountable task if a

multifaceted approach is attempted.

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