Clinical and Economic Benefits of Cardiovascular Risk Management by a Dietician in Type 2 Diabetes Patients
Clinical and Economic Benefits of Cardiovascular Risk Management by a Dietician in Type 2 Diabetes Patients
Worldwide, health systems and practitioners are facing obesity epidemics. High blood
 pressure, dyslipidemia and diabetes prevalence will explode during the 21st century.

 The two main objectives of this 2-year controlled prospective study are:

 1. to demonstrate that, for patients with high blood pressure, diabetes and dyslipidemia,
 dietician conducted survey and management in combination with annual endocrinologist
 follow-up enable both attainment and maintenance of recommended blood pressure, glycemic
 and lipid goals, as well as smoking cessation;

 2. to demonstrate that dietician management is more cost effective than conventional care
 provided by general practitioners and endocrinologists.

 Results are expected to show significantly different cardiovascular risk profiles (BMI and
 waist circumference, systolic and diastolic blood pressure, LDL-C, triglycerides and Total
 cholesterol/HDL ratio, HbA1c, smoking) between baseline and after 2 years follow-up. Sample
 size was determined in order to show statistically significant differences between the two
 groups.

 Results will document for the benefit of care givers, health economists and policy makers
 alike an innovative and integrated model of care which is expected to be effective at the
 patient level as well as cost effective with respect to the increasing financial burden of
 diabetes on the health system.
Inclusion Criteria:

 -  HbA1c > 7%

 -  More than 2 follow-up visits