Handing control to the patient - structured education in diabetes


  • Simon Heller University of Sheffield




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


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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.

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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.

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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