Yıl: 2022 Cilt: 26 Sayı: 1 Sayfa Aralığı: 13 - 22 Metin Dili: İngilizce İndeks Tarihi: 26-06-2022

Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump

Öz:
Objective: Simultaneous teamwork is an advanced collaboration subtype that includes the patient’s evaluation by the team members (including physician, nurse and dietician) together in the same session. Our study aimed to investigate the effect of a simultaneous teamwork approach on metabolic and clinical outcomes of patients with Type 1 diabetes using an insulin pump. Material and Methods: This retrospective study included 49 previous insulin pump users with Type 1 diabetes who participated in a simultaneous teamwork protocol. Metabolic and clinical parameters were collected before and after the teamwork approach. A separate analysis of 16 patients in whom insulin pump was initiated with simultaneous teamwork and pregnancy data from 9 patients were also reported. Results: Simultaneous teamwork resulted in a significant reduction in the frequency of hypoglycemic episodes in previous insulin pump users with Type 1 diabetes. Hemoglobin A1c decreased, but the difference was statistically insignificant. Simultaneous teamwork was also efficient on patients initiated an insulin pump and for pregnancy follow-up in 2 separate subsets of patients with Type 1 diabetes. Conclusion: The simultaneous teamwork approach is a practical method to manage Type 1 diabetes in insulin pump users with the potential to reduce the frequency of hypoglycemic episodes.
Anahtar Kelime:

İnsülin Pompası Kullanan Tip 1 Diyabetli Hastaların Hipoglisemi Düzeylerinin İyileştirilmesinde Eş Zamanlı Ekip Çalışmasının Önemi

Öz:
Amaç: Eş zamanlı ekip çalışması, hastalara ilişkin bulguların doktor, hemşire ve diyetisyenden oluşan bir ekip tarafından aynı oturumda birlikte değerlendirildiği bir işbirliği tipi olarak tanımlanabilir. Araştırmamızın amacı, eş zamanlı ekip çalışmasının tip 1 diyabet tanılı hastaların metabolik ve klinik sonuçlarına olan etkilerini irdelemektir. Gereç ve Yöntemler: Bu geriye dönük (retrospektif) araştırmada, önceden insülin pompası kullanmakta olan ve ekip çalışması protokolüne katılan Tip 1 diyabet tanılı 49 hasta yer almıştır. İlk aşamada, ekip çalışması öncesini ve sonrasını içeren metabolik ve klinik parametrelere ilişkin veriler toplanmış; daha sonra eş zamanlı ekip çalışması ile insülin pompası takılan 16 hastaya ve yine aynı yöntemle gebelik takipleri yapılan 9 hastaya ilişkin veriler analiz edilmiştir. Bulgular: Eş zamanlı ekip çalışmasında yer alan önceden insülin pompası kullanan Tip 1 diyabet tanılı hastalarda, hipoglisemik atak sıklığı bakımından belirgin bir azalmanın söz konusu olduğu görülmüştür. Hemoglobin A1c değerlerinde ise istatistiksel olarak önemli olmamakla birlikte, düşme eğiliminin olduğu gözlenmiştir. Ayrıca eş zamanlı ekip çalışmasının; insülin pompası kullanımına yeni başlayan tip 1 diyabet tanılı hastaları ve tip 1 diyabet tanılı gebe hastaları kapsayan 2 ayrı hasta alt grubunun takibinde de etkili olduğu belirlenmiştir. Sonuç: Eş zamanlı ekip çalışması yaklaşımının insülin pompası kullanan Tip 1 diyabet tanılı hastaların tedavisinde, başta hipoglisemi atak sıklığı olmak üzere, pratik ve etkili bir yöntem olabileceği belirlenmiştir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Ozgen Saydam B, Adiyaman S, Yeşilli B, Bektaş B, VATANSEVER O, Aydin N, KAVCAR S, DEĞİRMENCİ C, BAYRAKTAR F, Akinci B (2022). Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump. , 13 - 22.
Chicago Ozgen Saydam Basak,Adiyaman Suleyman Cem,Yeşilli Berfu,Bektaş Belgin,VATANSEVER OZGUL,Aydin Nalan,KAVCAR Simge YILMAZ,DEĞİRMENCİ CANAN,BAYRAKTAR Fırat,Akinci Baris Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump. (2022): 13 - 22.
MLA Ozgen Saydam Basak,Adiyaman Suleyman Cem,Yeşilli Berfu,Bektaş Belgin,VATANSEVER OZGUL,Aydin Nalan,KAVCAR Simge YILMAZ,DEĞİRMENCİ CANAN,BAYRAKTAR Fırat,Akinci Baris Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump. , 2022, ss.13 - 22.
AMA Ozgen Saydam B,Adiyaman S,Yeşilli B,Bektaş B,VATANSEVER O,Aydin N,KAVCAR S,DEĞİRMENCİ C,BAYRAKTAR F,Akinci B Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump. . 2022; 13 - 22.
Vancouver Ozgen Saydam B,Adiyaman S,Yeşilli B,Bektaş B,VATANSEVER O,Aydin N,KAVCAR S,DEĞİRMENCİ C,BAYRAKTAR F,Akinci B Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump. . 2022; 13 - 22.
IEEE Ozgen Saydam B,Adiyaman S,Yeşilli B,Bektaş B,VATANSEVER O,Aydin N,KAVCAR S,DEĞİRMENCİ C,BAYRAKTAR F,Akinci B "Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump." , ss.13 - 22, 2022.
ISNAD Ozgen Saydam, Basak vd. "Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump". (2022), 13-22.
APA Ozgen Saydam B, Adiyaman S, Yeşilli B, Bektaş B, VATANSEVER O, Aydin N, KAVCAR S, DEĞİRMENCİ C, BAYRAKTAR F, Akinci B (2022). Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump. Turkish Journal of Endocrinology and Metabolism, 26(1), 13 - 22.
Chicago Ozgen Saydam Basak,Adiyaman Suleyman Cem,Yeşilli Berfu,Bektaş Belgin,VATANSEVER OZGUL,Aydin Nalan,KAVCAR Simge YILMAZ,DEĞİRMENCİ CANAN,BAYRAKTAR Fırat,Akinci Baris Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump. Turkish Journal of Endocrinology and Metabolism 26, no.1 (2022): 13 - 22.
MLA Ozgen Saydam Basak,Adiyaman Suleyman Cem,Yeşilli Berfu,Bektaş Belgin,VATANSEVER OZGUL,Aydin Nalan,KAVCAR Simge YILMAZ,DEĞİRMENCİ CANAN,BAYRAKTAR Fırat,Akinci Baris Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump. Turkish Journal of Endocrinology and Metabolism, vol.26, no.1, 2022, ss.13 - 22.
AMA Ozgen Saydam B,Adiyaman S,Yeşilli B,Bektaş B,VATANSEVER O,Aydin N,KAVCAR S,DEĞİRMENCİ C,BAYRAKTAR F,Akinci B Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump. Turkish Journal of Endocrinology and Metabolism. 2022; 26(1): 13 - 22.
Vancouver Ozgen Saydam B,Adiyaman S,Yeşilli B,Bektaş B,VATANSEVER O,Aydin N,KAVCAR S,DEĞİRMENCİ C,BAYRAKTAR F,Akinci B Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump. Turkish Journal of Endocrinology and Metabolism. 2022; 26(1): 13 - 22.
IEEE Ozgen Saydam B,Adiyaman S,Yeşilli B,Bektaş B,VATANSEVER O,Aydin N,KAVCAR S,DEĞİRMENCİ C,BAYRAKTAR F,Akinci B "Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump." Turkish Journal of Endocrinology and Metabolism, 26, ss.13 - 22, 2022.
ISNAD Ozgen Saydam, Basak vd. "Simultaneous Teamwork May Improve Hypoglycemia Rates in Patients with Type 1 Diabetes Using an Insulin Pump". Turkish Journal of Endocrinology and Metabolism 26/1 (2022), 13-22.