SGS: a structured treatment and teaching programme for older patients with diabetes mellitus--a prospective randomised controlled multi-centre trial

Abstract

Objectives: evaluation of the effectiveness of a new structured diabetes teaching and treatment programme (DTTP) with specific didactical approaches and topics for geriatric patients with diabetes mellitus.Design: a prospective randomised controlled multi-centre trial.Setting and participants: a total of 155 geriatric patients were randomly admitted to either the new DTTP SGS (n = 83) or the standard DTTP (n = 72) for insulin-treated patients with type 2 diabetes mellitus (HbA1c 8.0 ± 1.4%, age 76.2 ± 6.3 years).Measurements: biometrical data, metabolic control, acute complications, diabetes knowledge, self-management.Results: SGS participants showed improved levels of HbA1c 6 months after the DTTP, and less acute complications than the standard group (P<0.009). Both groups demonstrated a good capacity for diabetes self-management and improvement in diabetes knowledge after the DTTP (P<0.01).Conclusion: the new SGS diabetes education programme, focusing on the learning capabilities and the particular needs of older persons, is effective in improving metabolic control and in maintaining auto-sufficiency in geriatric patients with diabetes mellitus.

Diabetes self‐management programmes in older adults: a systematic review and meta‐analysis

“…Study characteristics are shown in Table S1. Risk of bias for each study was assessed and determined that five studies were considered strong quality , four studies were considered moderate , and four studies were considered weak . We screened all of the papers that were included in the Chodosh review, but none were included because they did not meet our inclusion criteria.…”

“…For studies with ≤ 3 months [ ], the pooled treatment effect on HbA 1c was –3 mmol/mol (–0.3%; 95% CI –0.46 to –0.06). The pooled effect on HbA 1c of studies in which the intervention lasted longer than 3 months was –1 mmol/mol (–0.1%; 95% CI –0.25 to –0.04) (Fig. ) .…”

Diabetes in Older People

“…As interprofessional interventions specifically designed for older adults have been shown to improve glycemic control, referrals to diabetes health-care (DHC) teams should be facilitated (7)(8)(9). Payfor-performance programs improve a number of quality indicators in this age group (10,11).…”

The Effect of Pharmacist Intervention on Diabetes Screening Promotion and Education in a Geriatric Population

“…Most of these programs, and most of the research surrounding diabetes education in the elderly, has focused on the education of diabetes self-management. [11][12][13][14][15][16][17] These types of interventions are beneficial to elderly patients aware of and living with diabetes, however, as seen in this analysis, slightly over 30% of typical community-dwelling older adults are not aware of their risk for diabetes. This data indicates that there is a large population of seniors in the community that may not be getting the appropriate screening for diabetes or gain benefit from the current model of education.…”