ICD
What we do

Operation

Children and teens are assisted, free of charge, in an infrastructure with Day Hospital, Ambulatory Care, Daily Education Program on Diabetes, Nutrition Workshops, Physicians’ and Dentists’ Offices, Ophthalmologic Center, Toy Library, and a Hotline to assist patients, family members, caretakers, and educators.

The age group assisted by ICD ranges, to begin with, from 0 to 20 years of age. That is because most cases of type 1 diabetes (insulin-dependent) occur within this range. However, since complications start to appear, in general, after having the disease for 10 years, and knowing that after 25 years with diabetes patients free from nephropathy (renal insufficiency) are not likely to develop it, ICD intends to follow its patients until they have had the disease for 25 years.

We also provide support to families that must also get involved in this process, since diabetes is known as the 24-hour disease, which is the daily amount of time it demands to be controlled.

Assistance Hours: Monday through Friday, from 8am to 5pm.

Our Routine

On ICD’s day-to-day routine, the interdisciplinary team approaches the several different aspects of the diagnostic, treatment, and prevention of disease complications in classes specially developed for patients, family members and caretakers, in outpatient appointments and at the Day Hospital (for patients with recent diagnostic or first appointment).

Throughout the twelve months of the year, patients receive orientation on hypoglycemia, oral health, insulin application, nutrition plan and carbohydrate count, diabetes in school, at work and in special situations, therapy with insulin pump, myths and beliefs of the disease, new technologies and new treatments, self-monitoring, how to deal with diabetes when you have other diseases, diabetic ketoacidosis, the importance of physical activity and how to understand the emotional burden of the human body. The objective is to broaden the knowledge on the disease and generate greater treatment compliance from all people involved.

ICD also offers the Compact Education Program in type 1 Diabetes. Through 15 video classes, recorded by ICD’s medical and technical team, the objective of the program is to expand the knowledge on DM1 into places where there are no education programs in diabetes. Through the site www.educacaodiabetestipo1.com.br, health professionals can register, have access to the classes, and spread this knowledge to their patients.

Services Offered

 

Day Hospital

The Day Hospital works from 8am to 5pm and assists cases of recent diagnostic, acute complications (severe hypoglycemia or ketoacidosis) and decompensated diabetes. If the patient does not show an improvement throughout the day, the medical team requests a hospital admission at Hospital da Criança Conceição or at Hospital Nossa Senhora Conceição, both of which are GHC units. With six observation beds, the initial assistance in cases of first appointment and recent diagnostic is done at the Day Hospital.

 

Ambulatory Care

The Ambulatory Care takes up an entire floor of the Institute for Children with Diabetes head building and relies on a full infrastructure for the work of an interdisciplinary team, which relies on endocrinologists, nurses, nutritionists, dentists, psychiatrist, social assistants, ophthalmologists, a psychologist and a physical educator. In addition, there are dental offices and an Ophthalmological Center.

 

Hotline

Hotline is a different modality of phone assistance, which aims at guiding patients and family members on how to solve diabetes crises without leaving home. Monday through Friday, from 8am to 5pm, ICD’s technical team receives phone calls, provides clarifications on insulin dose adjustments, acute hypo and hyperglycemia and provides general orientations on nutrition and daily care.

Hotline was created to avoid having to transport patients/family members from their homes to hospitals, which on many occasions are in different cities or even states. It is also a tool to achieve the dehospitalization goal.

Assistance, Treatment, and Orientation on Oral Health

People with diabetes may experience more complications on their teeth and mouth, due to constant metabolic changes. The work from dentists and a dental hygiene technician, in addition to the treatment, is also focused on the prevention of cavities – considered to be a contagious infectious disease. Saliva reduction, caused by hyperglycemia, also affects the sensitivity of the mucosa and tongue, and may cause the appearance of cold sores and other manifestations from little known etiologies. The team’s commitment goes beyond the responsibility to promote “oral health,” turning their meetings with patients and family members into something positive, of mutual respect and support.

Quality of Life Program (PAQ-VIDA)

PAQ Vida targets adolescent patients who currently have decompensated glucose levels. The program’s objective is to listen to and identify the motivation from patients and family members to change their behavior when faced with the diabetes treatment, in addition to offering tools to deal with daily difficulties. The professionals establish realistic goals to lower the A1c average in 1pp, in twelve months, considering that lowering the A1c at this level reduces the incidence of chronic complication from diabetes in approximately 35%.

Continuous Education Program on Type 1 Diabetes

There are 15 video classes given by the interdisciplinary team for patients and family members, Monday through Friday, at 9:30am and at 2pm. The theme of the day always relies on a physician or technician from ICD to talk, guide, and clarify any questions that may arise.

Psychological Support

Emotional follow up for patients and caretakers, with emphasis on assistance and education, is essential to having a healthy life with the disease. Based on these principles, the psychologist helps patients deal with fears, conflicts, and problems from a severe and chronic pathology.

Carbohydrates Count Workshop

The workshops seek a practical way to develop a nutritional education process for patients and family members. The nutritionist approaches the necessary care for a healthy life and explains the importance of a balanced diet, generating awareness about calorific value, carbohydrates count, food properties, and the learning process to prepare it.

Insulin Application Workshop

The insulin application workshop targets groups of patients, family members and caretakers. Through practical activities, the participants receive orientation from the nursing team on how to handle, prepare, apply different types of insulin, and on their conservation. All information on self-application is provided: what is the proper technique, the proper places to apply it, the need to rotate and insulin dose adjustments according to the measured glucose value. With the workshop, patients assimilate the knowledge faster and physicians and nurses can identify more easily the individual difficulties of each one of them.

History of Assistance

The Institute for Children with Diabetes currently assists more than 3,000 children and teens with diabetes.

Year
Nº of Patients
Assistances
2004 520 11.574
2005 815 17.530
2006 1.090 19.602
2007 1.345 19.888
2008 1.575 20.244
2009 1.804 26.601
2010 2.028 26.105
2011 2.189 28.686
2012 2.437 29.134
2013 2.636 30.211
2014 2.871 30.614
2015 2.921 29.287
2016 3.250 26.140
2017  3.463 23.035

History of Assistance

The Institute for Children with Diabetes currently assists more than 3,000 children and teens with diabetes.

Year
Nº of Patients
Assistances
2004 520 11.574
2005 815 17.530
2006 1.090 19.602
2007 1.345 19.888
2008 1.575 20.244
2009 1.804 26.601
2010 2.028 26.105
2011 2.189 28.686
2012 2.437 29.134
2013 2.636 30.211
2014 2.871 30.614
2015 2.921 29.287
2016 3.250 26.140
2017  3.463 23.035

LEARN HOW TO MAKE A DONATION

Your donation really does make a difference in the treatment of our children and teens, to control the disease and reduce hospital stays towards a life free of complications from diabetes.

LEARN HOW TO MAKE A DONATION

Your donation really does make a difference in the treatment of our children and teens, to control the disease and reduce hospital stays towards a life free of complications from diabetes.

Assistance hours

Monday through Friday, 
from 8am to 5pm

To schedule an appointment

  • Ambulatory Care:+ 55 51 3341.4511 | 3357.2697
  • Day Hospital: + 55 51 3357.2698

Contact

Address

Rua Álvares Cabral, 529
Cristo Redentor - 91350-250
Porto Alegre/RS
Brazil