Differential effects of diabetes education programs by levels of HbA1c and the presence of chronic complications in patients with type 1 diabetes
DOI:
https://doi.org/10.23938/ASSN.0340Keywords:
Type 1 diabetes. Metabolic control. Intensive education program. Skill practice. Self-care.Abstract
Background. Diabetes Education Programs (DEP) that improve metabolic control are applied to a wide variety of patient types. The aim is to test whether DEPs work differently depending on the patient profile.
Materials and Methods. Thirty-six type 1 diabetics participated. They were divided into four groups according to their haemoglobin levels (range: 7-13 %) and into two groups according to the presence or absence of complications. The ECODI scale for assessing diabetes knowledge and the Frequency of Self-Care scale were completed by all patients.
Results. The results showed that HbA1c decreased after the DEP, with some areas of self-care also improving. There were no changes, however, to diet or exercise.
Conclusions. DEP appear to work better in patients with worse control and with complications, suggesting that they have a certain role to play in prevention. Their lack of impact on diet or exercise, would suggest that the DEPs require improvement to include psychological strategies that motivate lasting lifestyle changes.
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References
1. SHICHIRI M, OHKUBO Y, KISHIKAWA H, WAKE N. Long term results of the Kumamoto Study on optimal diabetes control in type 2 diabetic patients. Diab Care 2000; 23: Suppl. 2: B21-B2.
2. Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med 1993; 329: 977-986.
https://doi.org/10.1056/NEJM199309303291401
3. CHODOSH J, MORTON SC, MOJICA W, MAGLIONE M, SUTTORP MJ,
HILTON L et al. Meta-analysis: chronic disease self- management programs for older adults. Ann Intern Med 2005; 143: 427-438.
https://doi.org/10.7326/0003-4819-143-6-200509200-00007
4. RICKHEIM PL, WEAVER TW, FLADER JL, KENDALL DM. Assessment of group versus individual diabetes education: a randomized study. Diab Care 2002; 25: 269-274.
https://doi.org/10.2337/diacare.25.2.269
5. RUIZ-GONZÁLEZ I, FERNÁNDEZ-ALCÁNTARA M, GUARDIA-ARCHILLA T, MOLINA A, CASARES D Y DE LOS SANTOS-ROIG M. Educación Diabetológica, ¿Qué podemos cambiar?: Efectos a largo plazo de un programa intensivo-práctico sobre el autocuidado del paciente con Diabetes tipo 1. Rev Paraninfo Digital, 2012; 16.
6. BUENO JM, MARCO MD, LEAL A, OROZCO D, MIRA JJ. An evaluation study of a scale of diabetological education in primary care. Aten Primaria 1993; 11: 344-348.
7. TOOBERT DJ, HAMPSON SE, GLASGOW RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diab Care 2000; 23: 943-950.
https://doi.org/10.2337/diacare.23.7.943
8. American Diabetes Association: Implications of the United Kingdom Prospective Diabetes Study (Position Statement). Diab Care 2002; 25 (Suppl. 1): S28-S32.
https://doi.org/10.2337/diacare.25.2007.S28
9. GONZÁLEZ M, GALÍNDEZ A. Estudio del coste de hospitalización de las complicaciones de la diabetes. An Sist Sanit Navar 1997; 20: 71-76.
10. CHILLARÓN JJ, FLORES-LE-ROUX JA, GODAY A, BENAIGES D, CARRERA MJ, PUIG J et al. Síndrome metabólico y diabetes mellitus tipo 1: prevalencia y factores relacionados. Rev Esp Cardiol 2010; 63: 423-429.
https://doi.org/10.1016/S0300-8932(10)70063-4
11. ÁLVAREZ-SALA LA, SUÁREZ C, MANTILLA T, FRANCH J, RUILOPE LM, BANEGAS JR et al. Estudio PREVENCAT: control del riesgo cardiovascular en atención primaria. Med Clin 2005; 124: 406-410.
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