Structured type 1 diabetes education delivered within routine care: impact on glycemic control and diabetes-specific quality of life

Cooke, Debbie, Bond, Rod, Lawton, Julia, Rankin, David, Heller, Simon, Clarke, Marie and Speight, Jane (2013) Structured type 1 diabetes education delivered within routine care: impact on glycemic control and diabetes-specific quality of life. Diabetes Care, 36 (2). pp. 270-272. ISSN 0149-5992

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Abstract

OBJECTIVE To determine whether improvements in glycemic control and diabetes-specific quality of life (QoL) scores reported in research studies for the type 1 diabetes structured education program Dose Adjustment For Normal Eating (DAFNE) are also found when the intervention is delivered within routine U.K. health care.

RESEARCH DESIGN AND METHODS Before and after evaluation of DAFNE to assess impact on glycemic control and QoL among 262 adults with type 1 diabetes.

RESULTS There were significant improvements in HbA1c from baseline to 6 and 12 months (from 9.1 to 8.6 and 8.8%, respectively) in a subgroup with suboptimal control. QoL was significantly improved by 3 months and maintained at both follow-up points.

CONCLUSIONS Longer-term improved glycemic control and QoL is achievable among adults with type 1 diabetes through delivery of structured education in routine care, albeit with smaller effect sizes than reported in trials.

Item Type: Article
Schools and Departments: School of Psychology > Psychology
Subjects: Q Science > QZ Psychology
R Medicine > R Medicine (General)
Depositing User: Rod Bond
Date Deposited: 14 Mar 2013 11:13
Last Modified: 08 Mar 2017 18:23
URI: http://sro.sussex.ac.uk/id/eprint/41925

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