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Structured Type 1 Diabetes Education Delivered Within Routine Care: Impact on Glycemic Control and Diabetes-Specific Quality of Life.

Cooke, D, Bond, R, Lawton, J, Rankin, D, Heller, S, Clark, M, Speight, J and for the U.K. NIHR DAFNE Study Group, (2012) Structured Type 1 Diabetes Education Delivered Within Routine Care: Impact on Glycemic Control and Diabetes-Specific Quality of Life. Diabetes Care.

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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 hemoglobin A(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.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences
Authors :
AuthorsEmailORCID
Cooke, DUNSPECIFIEDUNSPECIFIED
Bond, RUNSPECIFIEDUNSPECIFIED
Lawton, JUNSPECIFIEDUNSPECIFIED
Rankin, DUNSPECIFIEDUNSPECIFIED
Heller, SUNSPECIFIEDUNSPECIFIED
Clark, MUNSPECIFIEDUNSPECIFIED
Speight, JUNSPECIFIEDUNSPECIFIED
for the U.K. NIHR DAFNE Study Group, UNSPECIFIEDUNSPECIFIED
Date : 8 November 2012
Identification Number : 10.2337/dc12-0080
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.
Depositing User : Symplectic Elements
Date Deposited : 28 Jan 2016 16:22
Last Modified : 28 Jan 2016 16:22
URI: http://epubs.surrey.ac.uk/id/eprint/809586

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