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P8.022 Structured diabetes education: significance among kidney transplants recipients with post-transplant diabetes

Osama Ashry Gheith, Egypt

Mansoura university

Biography

Biography

I am Dr. Osama Ashry Ahmed Gheith, who graduated in 1987 from Mansoura faculty of medicine, Egypt. I have held an MD degree in Internal Medicine and Nephrology since 2003. I have been trained at Mansoura urology and nephrology center, Mansoura University, Egypt from 1991 till 2008 when I join the work at Hamed Al-Essa organ transplant center.

I am a member of the following societies: International Society of Nephrology (ISN), European Dialysis Transplantation Association (EDTA), African Association of Nephrology (AFRAN), Arab Society of Nephrology, and Egyptian Society of Nephrology (ESN).

I have long experience with all nephrology activities including all dialysis modalities, medical care of more than 3500 renal transplant recipients, and surgical Skills of importance in the field of nephrology as vascular access creation, PD catheter insertion, and renal biopsies. Moreover, I am interested in training and supervising Junior Staff in nephrology and renal transplant (in Egypt, Yemen, and Kuwait).

I have completed the NIH Web-based training course “Protecting Human Research Participants”. I am interested in research work and have over 12 research projects ongoing in the department. I am an author and/or co-author of over 85 publications in peer-reviewed international journals. In addition to several abstracts in many Middle East and international conferences. I am interested in the field of immunosuppression in renal transplantation, post-transplant diabetes, infection, and anemia.

I won some of the research prizes with the special concern of Emirates medical association –Nephrology Society EMAN YOUNG INVESTIGATOR AWARD –during the 12th congress of the Arab society of nephrology and renal transplantation 2014, 6th ISN EMAN Update Course in Nephrology 2014, 10-13December 2014 Dubai, UAE; one of the top 5 posters presented in ESNT 2018 (impact of HLA DR mismatch in elderly renal transplant recipients regardless donor sources: single-center experience from the middle east) and one of the top 5 posters presented in ESNT 2019 (Screening for BK viremia/viruria and the Impact of Management of BK Virus Nephropathy in Renal Transplant Recipients).

Abstract

Structured diabetes education: significance among kidney transplants recipients with post-transplant diabetes

Osama Gheith1,2, Nashwa Othman3,4, Torki Alotaibi1, Tarek Said1, Medhat A Halim1, Faisal Al-Refaei4, Nabil Elserwy1, Fatma Mahmoud4, Heba Abduo 4, Narayanan Nampoory1.

1MUNC, Mansoura university, Mansoura, Egypt; 2Nephrology , OTC kuwait, Ff, Kuwait; 3Public health, Faculty of Nursing , Mansoura, Egypt; 4Education , Dasman diabetes institute, Kuwait, Kuwait

Introduction: Diabetes knowledge among kidney transplant recipients with post-transplant diabetes (NODAT) is not evaluated comprehensively.

Aim of the study: We aimed to evaluate the impact of structured diabetes education on the development of diabetic micro-and macro-angiopathies in kidney transplant recipients with new-onset diabetes after transplant.

Patients and methods: In this prospective randomized controlled trial, we categorized 210 kidney transplants recipients with NODAT into two groups according to the type of diabetes education (in a ratio of 2:1). Group 1 (n=140) received structured diabetes education while group 2(n=70) received conventional education.
We collected patients’ data in patient identification and metabolic control parameters.

Results: Most patients in the two groups (1&2) were Kuwaiti (60.7 vs. 58.6%), men (57.9 vs. 68.6%), with high school education levels (43.6vs.48.6%). The minority of patients were smokers (12.9 vs.8.7%), and chronic glomerulonephritis was the original disease in 36.4 vs. 35.4% in the two groups, respectively. Most of the enrolled patients (72.8 vs. 78.6%) underwent hemodialysis pre-transplant. At the start of the study, the percentage of patients with diabetic neuropathy was comparable in both groups (32.4 vs. 27.6% in the two groups respectively) and after 24 months, follow up electromyography/nerve conduction did not show a significant difference between the studied groups(P>0.05). Similarly, the number of patients with fundus imaging showing retinopathy was comparable in both groups at the study's start and end (p>0.05). Also, macroangiopathic events (cerebral stroke, acute myocardial infection, or peripheral arterial disease) were higher in group 1 but did not rank to significance (p>0.05). On the other hand, although the percentage of patients with nephropathy was comparable in both groups at the start of the study, this percentage decreased significantly in group 1 after 24 months of the study compared to group 2 and the basal value in the same group(p=0.016).

Conclusion: Structured diabetes education is associated with reducing diabetic nephropathy but without significant impact on other micro- or macroangiopathy. We recommended being delivered to all diabetic kidney transplant recipients

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