DP 7 - MULTIDISCIPLINARY TEAM (MDT) STRUCTURED INTERVENTION TO REDUCE HBA1C LEVEL OF TYPE 2 DIABETES MELLITUS (T2DM) PATIENTS BY AT LEAST 1% IN KUALA SELANGOR PRIMARY HEALTHCARE CLINICS Jamie Chong Siew Lin

Farhani Samat1, Jamie Chong Siew Lin2, Siti Fairuz S. Abdul Hadi3, Syaidatul Akmar Mohamed Sufee4, Noor Asikin Mohd Yusof4, Nur Hidayah Zulkefli3, Nooraliza Dannuri4, Noor Adilah Mustafa Yusof3

 

1 Klinik Kesihatan Tanjong Karang, Jalan Sungai Kajang, 4500 Kuala Selangor, Selangor

2 Dietician, Pejabat Kesihatan Daerah Kuala Selangor, Jalan Semarak, 4500 Kuala

Selangor, Selangor

3 Klinik Kesihatan Kuala Selangor, Jalan Klinik, Bandar Melawati, 4500 Kuala Selangor,

Selangor

4 Klinik Kesihatan Bestari Jaya, 45600 Batang Berjuntai, Selangor

 

Objective

This study is to assess Multidisciplinary team (MDT) structured intervention to reduce HbA1c level of Type 2 Diabetes Mellitus (T2DM) patients by at least 1% among patients attending primary healthcare clinics in Kuala Selangor.

 

Methodology

This study compares the HbA1c result of Diabetic patients pre and post intervention during a 4-months interval. The reduction of HbA1c by 1% or more is measured as an indicator of successful intervention. T2DM patients with pre-HbA1c levels of ≥ 8.0% from two major clinics in Kuala Selangor were enrolled starting from December 2020 via simple random sampling. Participants will be managed by Family Medicine Specialists, Medical Officers, Pharmacists, Diabetic Educators and Dietician. This multidisciplinary team (MDT) will aim to treat to treatment targets and provide comprehensive care using Clinical Practice Guidelines of Diabetes Mellitus, Diabetic Module Flip Chart, Diabetes Education Manual and Medical Nutrition Therapy Guidelines for Diabetes Mellitus. All healthcare providers were trained prior to study.

 

Results & Discussion

Total of 79 participants were recruited. Dropped out rate was 17.7%, leaving a total of 65 participants remaining for analysis. Out of 65 participants, 17 (26.2%) are male, and 48 (73.8%) are female, with their mean age being 50. Mean HbA1c pre and post intervention were 10.07% and 8.0% respectively. Four months following intervention showed 75.3% (n=49) participants achieved at least 1% of HbA1c reduction. Structured intervention through a multidisciplinary team (MDT) successfully improves glycaemic control among uncontrolled diabetic patients. Close collaboration of Dietician with other MDT team (medical officer, pharmacist and diabetic educator) at educating patients is important to ensure patients receive consistent and optimal care during follow up.

 

Conclusion

Strengthening of a multidisciplinary team (MDT) is crucial to ensure consistent impact towards diabetic patients. Further evaluation of this intervention is needed to look into the sustainability of HbA1c reduction for a longer interval.