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

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journal contribution
posted on 2013-02-01, 00:00 authored by D Cooke, R Bond, J Lawton, D Rankin, S Heller, M Clark, Jane SpeightJane Speight
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.

History

Journal

Diabetes care

Volume

36

Pagination

270 - 272

Location

Alexandria, Virginia

Open access

  • Yes

ISSN

0149-5992

eISSN

1935-5548

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2013, American Diabetes Association

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