Bicentric evaluation of a teaching and treatment programme for Type 1 (insulin-dependent) diabetic patients: improvement of metabolic control and other measures of diabetes care for up to 22 months

Mühlhauser, Ingrid; Jörgens, Viktor; Berger, Michael; Graninger, Winfried; W, Gürtler; Hörnke, Lorena; Kunz, Andres; Schernthaner, Guntram; Scholz, Vera; Voss, H. E.

doi:10.1007/bf00284453

Cited by 225 publications

(170 citation statements)

References 15 publications

(13 reference statements)

Supporting

Mentioning

161

Contrasting

Unclassified

Order By: Relevance

“…The effectiveness of teaching and treatment programmes for IIT has been studied extensively in randomised controlled trials [7,10] and cohort studies [5,9,11]. The corroborating results obtained in different healthcare systems, e.g.…”

Section: Discussionmentioning

confidence: 90%

See 1 more Smart Citation

Long-term evaluation of a structured outpatient education programme for intensified insulin therapy in patients with Type 1 diabetes: a 12-year follow-up

et al. 2004

View full text Add to dashboard Cite

Aims/hypothesis. This study was conducted to evaluate the long-term outcome of a structured outpatient diabetes teaching and treatment programme (DTTP) for intensified insulin therapy in patients with Type 1 diabetes, which aims to improve metabolic control without increasing the risk of severe hypoglycaemia. Methods. All 123 diabetic outpatients (age 41±14 years; 64 women; BMI 23.5±3.1; diabetes duration 17± 11 years; HbA 1 c 7.9±1.6%; 32 patients with a history of severe hypoglycaemia; 18 with overt nephropathy; 22 with proliferative retinopathy) who participated in the DTTP between June 1989 and June 1990 were invited for follow-up visits after 3, 6 and 12 years. Results. Out of the 123 patients, 11 died during the follow-up period, two were lost for follow-up, and one was not willing to participate in re-evaluation after 12 years. Mean HbA 1 c levels decreased from 7.9± 1.6% to 7.1±1.2% (p<0.01) after 3 years, and were 7.8±1.5% (NS) and 7.8±1.2% (NS) after 6 and 12 years respectively. Frequency of hypoglycaemia decreased from 0.49 episodes per patient per year to 0.14 after 3 years (p<0.01), 0.19 after 6 years (p<0.01) and 0.16 after 12 years (p<0.01). Of the participants, 41% were able to lower HbA 1 c levels without episodes of severe hypoglycaemia and to maintain this improvement at all follow-up visits over the 12-year period. At follow-up, intensified insulin therapy was carried out by 94% of the patients. Conclusions/interpretation. A sustained reduction of the incidence of severe hypoglycaemia was observed in patients with Type 1 diabetes after participation in a structured outpatient DTTP over a 12-year period.

show abstract

Section: Discussionmentioning

confidence: 90%

“…The DTTP evaluated in this study was based on programmes developed for patient education in Type 1 diabetic patients [9,10,11] and has been described in detail previously [5]. Briefly, a diabetes nurse educator and a dietician taught a structured course to groups of five to eight outpatients.…”

Section: Methodsmentioning

confidence: 99%

Long-term evaluation of a structured outpatient education programme for intensified insulin therapy in patients with Type 1 diabetes: a 12-year follow-up

et al. 2004

View full text Add to dashboard Cite

show abstract

“…The report is the latest in a series dating back to 1983, all reporting the same outcome [4]. Why does the German programme succeed where the DCCT and other early programmes of intensive insulin therapy fail?…”

mentioning

confidence: 93%

Type 1 diabetes: treatment without tears?

Amiel

2005

Diabetologia

View full text Add to dashboard Cite

“…In a recent publication [1], Stout described a direct inhibitory effect of glucose on the replication of cultured human endothelial cells from umbilical cord veins. From clinical reports it is known that arteriosclerotic lesions in diabetic patients develop more rapidly than in normal subjects [2].…”

mentioning

confidence: 99%