IDF poster
Impact of multidisplinary team in diabetes care management at National Diabetes and Endocrine Centre in Oman

Background :- 
Diabetes is a major global emergency of the 21st century and lack of understanding regarding diabetes prevention strategies is the biggest barrier. 
The global prevalence of diabetes mellitus is on the rise and is projected to increase by 55% between 2013 and 2035. The World Health Organization estimates a 190% increase in the number of people living with diabetes in Oman over the next 20 years, from 75,000 in 2000 to 217,000 in 2025 (Al-Riyami, 2010).
The health vision (2050) has stated that Oman is taking diabetes seriously and has a major role in managing diabetes. Consequently,  a tertiary National Diabetes and Endocrine Centre (NDEC) was opened in 2013 for all high risk patients from all regions of Oman, with the primary aim to control and have a better outcome for the diabetic patients. 
The NDEC vision is to lead the country in the treatment and prevention of diabetes and endocrine disorders in accordance with international standards of care.
The NDEC mission is to serve as a centre of excellence that provides patients centered holistic care in diabetes and endocrine disorders through highly specialized multidiciplinary teams, using efficient therapies and focusing on health promotion &  lifestyle modification.



The objective of the NDEC is to adopt patient-centered holistic approach;
•	To manage and reduce complications through mulitdisciplinary team (physician, general nurse, endocrine nurse, diabetes educators nurses, obesity nurse, podiatries, dietitian, psycologost, pharmacist, physical activity specialist and opthalmologist).
•	To establish and develop diabetes and endocrine education and training programs for doctors, nurses and other helath professionals. 
•	To attain affiliation status with International Centres and be responsible to update existing protocols and guidelines in line with international bodies and implementing programs to other institutes to support research.
•	To train and promote of higher specialization in diabetes and endocrine fields. 
The NDEC also participates in public awareness events and community screening campaigns as well as conducting conferences and workshop in diabetes and endocrine fields.
A study was undertaken in NDEC for nine months for 448 diabetes type one and type two patients. The NDEC receive diabetic patients referred from primary health care facilities with uncontrolled diabetes and was seen only in diabetes clinic without attending the other multidisciplinary team clinics. In NDEC the participants was seen by multidisciplinary team members and have received different education sessions in different visits. The data collection method was electronic health records of HbA1c in the first visit to the NDEC and after attending multidisciplinary team clinics. Data collected after attending the patients with more than three session in most of the clinics within  nine months duration. The participants HbA1c range in the first visit were (9.6 – 9.9 %), after nine months of attending the multidisciplinary clinics the HbA1c result have reduced by 2% for 338 diabetic patients. The study shows that multidisciplinary team members play an important roles in the delivery of care for people with diabetes. Team care approach helps in minimizing diabetes complications and identify problem early for better outcome.
















The centre consist of 
Diabetes Clinic	Endocrine Clinic
•	Adolsance clinic
•	Counseling clinic
•	Diabetes clinic (Adult & Paediatric)
•	Diabetes education (Adult & Paediatric)
•	Diabetes foot clinic
•	Diabetes retina clinic
•	Exercise clinic
•	Insulin pump clinic (Adult & Paediatric)
•	Multidesplinary pregnany with diabetes
•	Nutrition (Adult & Paediatric)	•	Adult obesity education clinic
•	Combained paediatric repductive
•	Endocrine clinic (Adult & Paediatric)
•	Endocrine-reproductive clinic
•	Metabolic bone disease
•	Neuro-endocrine clinic
•	Obesity (Adult & Paediatric)
•	Paediatric thyroid disorder
•	Peadiatric and endocrine genatic counceling 
•	Peadiatric growth clinic
•	Thyroid oncology clinic
•	Thyroid and parathyroid clinic
•	Thyroid nodule (FNA) clinic

Impact of multidisciplinary team in diabetes care management at national diabetes and endocrine center in Oman