Significant effect of group education in patients with diabetes type 1

Mouslech, Zadalla; Somali, Maria; Livadas, S.; Daramilas, Christos; Chatzi, Alexandra; Papagianni, Maria; Mastorakos, George; Savopoulos, Christos; Hatzitolios, Apostolos

doi:10.1007/s42000-018-0054-0

Cited by 12 publications

(12 citation statements)

References 29 publications

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“…In a Greek study, patients with T1D participated for 1 year in groups, in which knowledge about the disease was transmitted in a simple and understandable manner. At the end of this program, reduced A1c levels, fewer blood glucose uctuations, and lower incidence of hypoglycemia were observed, improving the HRQoL of these patients (22).…”

Section: Discussionmentioning

confidence: 93%

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Relationship Among Health-Related Quality of Life and Autosomal Ancestry, Clinical and Socioeconomic Factors In Type 1 Diabetes in an Admixed Brazilian Population.

Azulay

Lago

Santos

et al. 2021

Preprint

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BACKGROUND: Type 1 diabetes is a chronic disease of an autoimmune character that affects the quality of life of patients in different degrees. Race and socioeconomic differences directly affect glycemic control. This study aimed to evaluate the Health-related quality of life (HRQoL) of Type 1 diabetes mellitus (T1D) patients an admixed Brazilian population, and to identify the variables influencing this condition.METHODS: This research is a cross-sectional study conducted at the University Hospital-Federal University of Maranhão Endocrinology Service with 152 T1D patients between 2017 and 2018. HRQoL information was obtained from two self-completed questionnaires: Short Form-6 dimensions and EuroQol-5 dimensions with visual analog scale. For inference of autosomal ancestry, a panel of 46 autosomal informational insertion/deletion ancestry markers (AIM–Indels) was used. Demographic information, socioeconomic data, presence of chronic complications, glycemic control level, and type of treatment were collected.RESULTS: In the study, the patients who had good HRQoL were characterized as follows: male, under 18 years old, single, with average of 11 years of schooling, had health insurance, with less than 5 years of diagnosis, practiced physical activity, experienced no hypoglycemia in the last 30 days, reported no chronic complications (retinopathy and nephropathy), participant in several group educational activities, used analogous insulin, monitored blood glucose, showed maximum treatment adherence, and came from the secondary service. Autosomal ancestry and self-reported color/race did not show influence on HRQoL indexes.CONCLUSION: Our study is the first to measure the HRQoL, autosomal ancestry and recognize the impact of T1D on patients' lives in the State of Maranhão, Northeast of Brazil. The results validate the need to provide T1D patients with continuous training on self-management and self-monitoring, seeking better results in metabolic control and consequently, in the prevention of acute and chronic complications to generate positive impacts on the quality of life of this population. In addition, reinforcing physical activity at each appointment should be part of the health team’s routine. We understand that ethnicity in a highly mixed population like ours did not influence the quality of life of these patients.

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Section: Discussionmentioning

confidence: 93%

“…In addition, these patients had health insurance and received various services in private services, which may also in uence their perception of HRQoL. These patients also had more access to educational programs, which have been shown by several studies to positively impact HRQoL (21) (22).…”

Section: Discussionmentioning

confidence: 99%

Relationship Among Health-Related Quality of Life and Autosomal Ancestry, Clinical and Socioeconomic Factors In Type 1 Diabetes in an Admixed Brazilian Population.

Azulay

Lago

Santos

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…The field of diabetes was already calling for improving health literacy in diabetic patients by developing ‘thinking outside the box’ approaches [ 34 , 35 ], and a recent publication suggests tailoring such messaging based on the psychological phenotyping of patients [ 36 ]. This need was also orchestrated in a study which called for the need for long-lasting education for adult diabetic patients toward improving behavior and achieving self-management of diabetes [ 37 ]. The ABCDE approach was created as a clinical approach intended to use such an ‘outside the box’ approach by using practical analogies to communicate basic concepts of diabetes in a simplified format which could be immediately understood by everyone, and not be limited by socioeconomic status, linguistic barriers or racial or ethnic backgrounds, or the educational level of diabetic patients, because the analogies were chosen to reflect common, everyday activities in their lives that diabetic patients could readily relate to.…”

Section: Discussionmentioning

confidence: 99%

‘Analogy-Based Comprehensive Diabetes Education’ (ABCDE) Improves Glycemic Control of Diabetic Patients in an Underserved Population: Results of a Retrospective Chart Analysis

Sekhar

2022

Healthcare

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Diabetes is the leading global cause for blindness, kidney failure and amputations. Preventing these complications requires optimal glycemic control, and it is imperative that diabetic patients understand the fundamental concepts of diabetes care. Although patients attend formal diabetes education classes, many do not comprehend basic concepts of diabetes, and are often noncompliant with diet, exercise and medications. A novel approach termed ‘analogy-based comprehensive diabetes education’ (ABCDE) was developed to educate HIV-patients with diabetes about basic concepts of diabetes care. The object of this manuscript is to report the results of a retrospective chart review on the impact of ABCDE on glycemic outcomes in 24 patients who had failed usual care (including formal diabetes education, physician visits, and diabetic medications), and were non-adherent with diet and medications. They received only the ABCDE without any changes in pharmacotherapy. The impact on glycosylated hemoglobin (HbA1c) and fasting blood glucose (FBG) was assessed at subsequent visits. HbA1c was found to decline by 22% and 33% after 3 and 6 months, respectively, with corresponding declines in FBG by 53% and 59%, respectively. These results suggest that ABCDE in outpatient diabetes clinics could be effective in behavior modification toward improving glycemic control, and warrants additional investigation.

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“… 31 Thus, many researchers want to evaluate the education of patients regarding T1DM. 32 , 33 They conclude that education is needed to control T1DM in children, adolescents, and adults.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life Differences in Pre- and Post-Educational Treatment in Type 1 Diabetes Mellitus During COVID-19

Rochmah¹,

Faizi²,

Hisbiyah³

et al. 2021

DMSO

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Purpose The coronavirus-19 (COVID-19) pandemic requires the use of online media to ensure monitoring of type 1 diabetes mellitus (T1DM) in children. Thus, this study aims to determine whether online education effectively improves the quality of life (QoL) in children with T1DM during the coronavirus-19 pandemic. Patients and Methods The study, conducted from March to October 2020, utilized the paired t -test before and after online education. Moreover, it adopts the recommended Pediatric Quality of Life Inventory (PedsQL) 3.2 diabetes module for the 33 patients registered in the Pediatric Endocrine Outpatient Clinic of Dr. Soetomo Hospital, Surabaya, Indonesia. Results The QoL of all children ( p = 0.011), parents ( p = 0.001), and both children and parents (overall; p = 0.002) have shown significant improvement after the treatment. The QoL of parents, as a subcriterion, improved after the treatment. However, the improvement in the children in subcriterion treatment II ( p = 0.186) was not significant. Conclusion Online education has proven to create a better QoL almost in all children with T1DM during the coronavirus-19 pandemic.

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Significant effect of group education in patients with diabetes type 1

Abstract: These results strongly support the need for long-lasting structured education group courses for adult diabetic patients keen to change their habits in order to achieve self-management of the disease.

Cited by 12 publications

References 29 publications

Relationship Among Health-Related Quality of Life and Autosomal Ancestry, Clinical and Socioeconomic Factors In Type 1 Diabetes in an Admixed Brazilian Population.

Relationship Among Health-Related Quality of Life and Autosomal Ancestry, Clinical and Socioeconomic Factors In Type 1 Diabetes in an Admixed Brazilian Population.

‘Analogy-Based Comprehensive Diabetes Education’ (ABCDE) Improves Glycemic Control of Diabetic Patients in an Underserved Population: Results of a Retrospective Chart Analysis

Quality of Life Differences in Pre- and Post-Educational Treatment in Type 1 Diabetes Mellitus During COVID-19

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