Objective: To apply an intensive and multidisciplinary education protocol in\norder to decrease, improve, delay or cancel the beginning of neuropathy and\nthe manifestation of lesions in diabetic patients. Methodology: This is a\ncross-sectional descriptive study carried out at the Diabetes Mellitus Outpatient\nClinic and Ward of Santa Marcelina Hospital in Porto Velho. This research\nwas based on cases of patients with Diabetes and Diabetics with Leprosy.\nThe criteria used to include the patients were: being treated with insulin\ntherapy, not to be amputated, being on high medication of the leprosy at\nthe moment of the evaluation and to present nutritional risk classification by\nthe screening. The population was divided into two groups of fifteen patients:\neight diabetic patients, four male and four female. Seven diabetics associated\nwith leprosy were 4 males and 3 females. The monofilament test (Semmes-\nWeinstein 10 g) was used as the classification basis. Results and Discussion:\nGroup A, called the intensive care group, began diabetes education work with\nmedical, nutritional and rehabilitation guidelines by a multidisciplinary team\nfor an average period of 15 days in the ward and after discharged with biweekly\nmonitoring. Group B, called conventional care, received the same\nguidelines in outpatient care and the monitoring followed the quarterly protocol.\nBoth groups were evaluated and reassessed for a period of 180 days in\nthe outpatient clinic. Group A consisted of 8 (100%) patients, 4 (50%) diabetics\nand 4 (50%) diabetics and leprosy patients. Conclusion: Intensive education\nin diabetes showed an improvement in the sensitivity, healing and nutritional\nstatus of the patients, leading to an improvement in quality of life and\ndisability level, reducing or delaying the beginning of neurological complications.\nThe protocol intensive method demonstrated a 100% improvement in patients in group A.
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