Handing control to the patient - structured education in diabetes

Authors

  • Simon Heller University of Sheffield

DOI:

https://doi.org/10.15277/bjd.2022.363

Keywords:

Structured education, type 1 diabetes, flexible intensive insulin therapy (FIIT)

References

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Stolte, K. Freie Diät beim Diabetes. Medizinische Klinik 1933;29:561-2.

Tattersall RB. The pissing evil: a comprehensive history of diabetes mellitus. Swan & Horn, Fife, Scotland 2017.

Assal JP, Mühlhauser I, Pernet A, Gfeller R, Jorgens V, Berger M. Patient education as the basis for diabetes care in clinical practice and research. Diabetologia 1985;28:602–13. https://doi.org/10.1007/BF00281995

Mühlhauser I, Berger M. Patient education: an evaluation of a complex intervention. Diabetologia 2002;45:1723-33. https://doi.org/10.1007/ s00125-002-0987-2

Sämann A, Mühlhauser I, Bender R, Kloos C, Muller UA. Glycaemic control and severe hypoglycaemia following training in flexible, intensive insulin therapy to enable dietary freedom in people with type 1 diabetes: a prospective implementation study. Diabetologia 2005;48:1965-70. https://doi.org/10.1007/S00125-005-1905-1

Mühlhauser I, Berger M. Diabetes education and insulin therapy: when will they ever learn? J Intern Med 1993;233:321-6. https://doi.org/10.1111/ j.1365-2796.1993.tb00679.x

DAFNE Study Group: Training in flexible, intensive insulin management to enable dietary freedom in people with type 1 diabetes: dose adjustment for normal eating (DAFNE) randomised controlled trial. BMJ 2002; 325:746-51. https://doi.org/10.1136/bmj.325.7367.746

The REPOSE Study Group: Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE). BMJ 2017;356:j1285. https://doi.org/10.1136/bmj.j1285

Hopkins D, Lawrence I, Mansell P, et al. Improved biomedical and psycho- logical outcomes 1 year after structured education in flexible insulin therapy for people with type 1 diabetes: the U.K. DAFNE experience. Diabetes Care 2012;35:1638-42. https://doi.org/10.2337/dc11-1579

Elliott J, Jacques RM, Kruger J, et al. Substantial reductions in the number of diabetic ketoacidosis and severe hypoglycaemia episodes requiring emergency treatment lead to reduced costs after structured education in adults with Type 1 diabetes. Diabet Med 2014;31:847-53. https://doi.org/ 10.1111/dme.12441

Elliot J, personal communication, October 2022.

NICE Guidance: Type 1 Diabetes in Adults: Diagnosis and Management. NICE Guideline [NG17]. 2015

Lawton J, Rankin D: How do structured education programmes work? An ethnographic investigation of the dose adjustment for normal eating (DAFNE) programme for type 1 diabetes patients in the UK. Soc Sci Med 2010;71:486-93. https://doi.org/10.1016/j.socscimed.2010.04.030

School of Health and Related Research DAFNEplus research study Developing and trialling the DAFNEplus (Dose Adjustment for Normal Eating) intervention. A lifelong approach to promote effective self- management in adults with type 1 diabetes. Available at https://www.sheffield.ac.uk/scharr/research/centres/ctru/dafneplus Last accessed 7 October 2022.

Campbell F, Lawton J, Rankin D, et al. Follow-Up Support for Effective type 1 Diabetes self-management (The FUSED Model): A systematic review and meta-ethnography of the barriers, facilitators and recommendations for sustaining self-management skills after attending a structured education programme. BMC Health Serv Res 2018;18:898. https://doi.org/10.1186/ s12913-018-3655-z

Coates E, Amiel S, Baird W, et al. Protocol for a cluster randomised con- trolled trial of the DAFNEplus (Dose Adjustment For Normal Eating) inter- vention compared with 5x1 DAFNE: a lifelong approach to promote effective self-management in adults with type 1 diabetes. BMJ Open 2021; 11:e040438. https://doi.org/1136/bmjopen-2020-040438

DAFNEplus cluster randomised controlled trial. Available at: https://www.is- rctn.com/ISRCTN42908016 Last accessed 7 October 2022

National Diabetes Audit 2019-2020. Available at: https://www.hqip.org.uk/wp-content/uploads/2021/08/REF230_NDA-Core-Rep1-2019-20_CPTT_ Main-rep_FINAL-v20210802.pdf Last accessed 7 October 2022

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Published

2022-12-22