Structured Type 1 Diabetes Education Delivered Within Routine Care Impact on glycemic control and diabetes-specific quality of life

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.

Metadata

Item Type:	Article
Authors/Creators:	Cooke, D. Bond, R. Lawton, J. Rankin, D. Heller, S. https://orcid.org/0000-0002-2425-9565 Clark, M. Speight, J. Grp, UKNIHRDAFNES
Copyright, Publisher and Additional Information:	© 2013 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.
Dates:	Published: 1 February 2013 Published (online): 24 January 2013
Institution:	The University of Sheffield
Academic Units:	The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > The Medical School (Sheffield) > Division of Genomic Medicine (Sheffield) > Department of Oncology and Metabolism (Sheffield) The University of Sheffield > Sheffield Teaching Hospitals
Depositing User:	Symplectic Sheffield
Date Deposited:	29 Nov 2016 08:50
Last Modified:	29 Nov 2016 08:50
Published Version:	http://dx.doi.org/10.2337/dc12-0080
Status:	Published
Publisher:	American Diabetes Association
Refereed:	Yes
Identification Number:	10.2337/dc12-0080
Related URLs:	Author
Open Archives Initiative ID (OAI ID):	oai:eprints.whiterose.ac.uk:107733

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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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