Abstract

SANTOS-ROIG, M. De los et al. Differential effects of diabetes education programs by levels of HbA1c and the presence of chronic complications in patients with type 1 diabetes. Anales Sis San Navarra [online]. 2014, vol.37, n.2, pp.235-240. ISSN 1137-6627.  https://dx.doi.org/10.4321/S1137-66272014000200006.

Background: Diabetes Education Programs (DEP) that improve metabolic control are applied to a wide variety of patient types. The aim is to test whether DEPs work differently depending on the patient profile. Materials and Methods: Thirty-six type 1 diabetics participated. They were divided into four groups according to their haemoglobin levels (range: 7-13 %) and into two groups according to the presence or absence of complications. The ECODI scale for assessing diabetes knowledge and the Frequency of Self-Care scale were completed by all patients. Results: The results showed that HbA1c decreased after the DEP, with some areas of self-care also improving. There were no changes, however, to diet or exercise. Conclusions: DEP appear to work better in patients with worse control and with complications, suggesting that they have a certain role to play in prevention. Their lack of impact on diet or exercise, would suggest that the DEPs require improvement to include psychological strategies that motivate lasting lifestyle changes.

Keywords : Type 1 diabetes; Metabolic control; Intensive education program; Skill practice; Self-care.

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