Abstract

Introduction: Effective management of diabetes should be holistic, taking into account the roles of different health actors. The objective of this study is to determine the contribution of dietary prescriptions to the balance of blood glucose and metabolic parameters in diabetic patients managed in micro-clinics.
Methods: The anthropometric, biological, metabolic parameters of the patients, the follow-up of the dietetic and dietary measures prescribed by the dieticians to the patients were raised. The usual statistics were used to analyze the results.
Results: In total, 17221 patients were managed in the AODCI-WDF micro-clinics, from 2012 to 2017. Only 39% of patients had benefited from dietary prescriptions (DP), 54% exclusively of medication prescriptions (MP), 7% had regular physical activity (PA), and other patients have benefited from the combination of these different treatments (61% MP+PA, 46% DP+PA, 93% MP+DP). Treatments that included dietary prescriptions (DP, DP + PA, MP + DP et MP + DP + PA) more patients with better control of anthropometric, biological, and metabolic parameters.
Conclusion: The AODCI-WDF diabetes network is a significant contributor to the decentralization of diabetes care through the presence of micro-clinics in many parts of the country. The diets prescribed by dieticians contribute enormously to the control of metabolic parameters of patients.