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Evaluation of a treatment and teaching refresher programme for the optimization of intensified insulin therapy in type 1 diabetes.
Patient Educ Couns. 2013 Oct; 93(1):108-13.PE

Abstract

OBJECTIVE

Evaluation of an ambulatory diabetes teaching and treatment refresher programme (DTTP) for the optimization of intensified insulin therapy in patients with type 1 diabetes (refresher course).

METHODS

85 outpatients took part in this prospective multicentre trial. Metabolic and psychosocial data were analyzed at baseline (V1), 6 weeks (V2) and 12 months after DTTP (V3).

RESULTS

In patients with baseline HbA1c>7% (88%), HbA1c decreased by 0.36% (p=0.004). The percentage of patients with HbA1c≤7% increased from 21.3 to 34.9% and with HbA1c above 10% decreased from 6.6 to 1.6% at V3. The incidence of hypoglycaemia decreased significantly: non severe hypoglycaemia from 3.31 to 1.39 episodes/pat/week (p=0.001) and severe hypoglycaemia from 0.16 to 0.03 episodes/pat/year (p=0.02). The treatment satisfaction increased by +10 of maximal ±18 points. The negative influence of diabetes on quality of life decreased from -1.93 to -1.69 points (p=0.031).

CONCLUSION

In a group of patients with moderately controlled diabetes type 1 who were already treated with intensified insulin therapy, metabolic control, treatment satisfaction and quality of life were improved after participation in an ambulatory DTTP without increasing insulin dosage, number of injections or insulin species.

PRACTICE IMPLICATIONS

This DTTP is effective for the optimization of intensified insulin therapy.

Authors+Show Affiliations

Department of Internal Medicine III, University Hospital, Jena, Germany. nicolle.mueller@med.uni-jena.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23747089

Citation

Müller, Nicolle, et al. "Evaluation of a Treatment and Teaching Refresher Programme for the Optimization of Intensified Insulin Therapy in Type 1 Diabetes." Patient Education and Counseling, vol. 93, no. 1, 2013, pp. 108-13.
Müller N, Kloos C, Sämann A, et al. Evaluation of a treatment and teaching refresher programme for the optimization of intensified insulin therapy in type 1 diabetes. Patient Educ Couns. 2013;93(1):108-13.
Müller, N., Kloos, C., Sämann, A., Wolf, G., & Müller, U. A. (2013). Evaluation of a treatment and teaching refresher programme for the optimization of intensified insulin therapy in type 1 diabetes. Patient Education and Counseling, 93(1), 108-13. https://doi.org/10.1016/j.pec.2013.05.008
Müller N, et al. Evaluation of a Treatment and Teaching Refresher Programme for the Optimization of Intensified Insulin Therapy in Type 1 Diabetes. Patient Educ Couns. 2013;93(1):108-13. PubMed PMID: 23747089.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of a treatment and teaching refresher programme for the optimization of intensified insulin therapy in type 1 diabetes. AU - Müller,Nicolle, AU - Kloos,Christof, AU - Sämann,Alexander, AU - Wolf,Gunter, AU - Müller,Ulrich Alfons, Y1 - 2013/06/06/ PY - 2012/11/29/received PY - 2013/04/11/revised PY - 2013/05/13/accepted PY - 2013/6/11/entrez PY - 2013/6/12/pubmed PY - 2014/8/19/medline KW - ADDQoL KW - BMI KW - DAFNE KW - DCCT KW - DTSQ KW - DTTP KW - Diabetes Control and Complications Trial KW - Diabetes Treatment Satisfaction Questionnaire KW - Diabetes Treatment and Teaching Programme KW - Diabetes mellitus type 1 KW - HbA1c KW - Hypoglycaemia KW - NPH KW - Neutral Protein Hagedorn insulin KW - Patient education KW - Treatment satisfaction KW - Type 1 DM KW - Type 1 diabetes mellitus KW - V KW - audit of diabetes-dependent quality of life KW - body mass index KW - visit SP - 108 EP - 13 JF - Patient education and counseling JO - Patient Educ Couns VL - 93 IS - 1 N2 - OBJECTIVE: Evaluation of an ambulatory diabetes teaching and treatment refresher programme (DTTP) for the optimization of intensified insulin therapy in patients with type 1 diabetes (refresher course). METHODS: 85 outpatients took part in this prospective multicentre trial. Metabolic and psychosocial data were analyzed at baseline (V1), 6 weeks (V2) and 12 months after DTTP (V3). RESULTS: In patients with baseline HbA1c>7% (88%), HbA1c decreased by 0.36% (p=0.004). The percentage of patients with HbA1c≤7% increased from 21.3 to 34.9% and with HbA1c above 10% decreased from 6.6 to 1.6% at V3. The incidence of hypoglycaemia decreased significantly: non severe hypoglycaemia from 3.31 to 1.39 episodes/pat/week (p=0.001) and severe hypoglycaemia from 0.16 to 0.03 episodes/pat/year (p=0.02). The treatment satisfaction increased by +10 of maximal ±18 points. The negative influence of diabetes on quality of life decreased from -1.93 to -1.69 points (p=0.031). CONCLUSION: In a group of patients with moderately controlled diabetes type 1 who were already treated with intensified insulin therapy, metabolic control, treatment satisfaction and quality of life were improved after participation in an ambulatory DTTP without increasing insulin dosage, number of injections or insulin species. PRACTICE IMPLICATIONS: This DTTP is effective for the optimization of intensified insulin therapy. SN - 1873-5134 UR - https://www.unboundmedicine.com/medline/citation/23747089/Evaluation_of_a_treatment_and_teaching_refresher_programme_for_the_optimization_of_intensified_insulin_therapy_in_type_1_diabetes_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0738-3991(13)00208-5 DB - PRIME DP - Unbound Medicine ER -