Structured type 1 diabetes education delivered within routine care: impact on glycemic control and diabetes-specific quality of life

Debbie D. Cooke, R Bond, Julia Lawton, David Rankin, S. Heller, M. Clark, speight J

Research output: Contribution to journalArticlepeer-review

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 HbA(1c) 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
Original languageEnglish
Pages (from-to)270-272
JournalDiabetes Care
Volume36
DOIs
Publication statusPublished - 1 Feb 2013

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