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The influence of an educational program on the HbA1c-level of adolescents with type 1 diabetes mellitus: a retrospective study
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Sabine Verbeek
Published/Copyright:
March 16, 2011
Abstract
Objectives: Adherence to diabetes management tasks in type 1 diabetes mellitus (T1DM) patients deteriorates during puberty. This causes glycemic dysregulation, which accelerates the development of long-term complications.
Methods: The data of 25 poorly regulated T1DM-patients were compared before and 3 and 9 months after a psycho-educational program. Data were extracted from patient’s records. The psycho-educational program consisted of three sessions for the patients and one for the parents in a 3-month period.
Results: HbA1c-levels at baseline (10.0±0.72%), decreased by 0.65% after 9 months follow-up (p=0.08). A subgroup of 15 patients showed a clinical significant HbA1c-reduction of ≥0.5% at 9 months follow-up (subgroup A), with a mean reduction of 1.6%.
Conclusions: These encouraging results show that a psycho-educational program can be of benefit in improving HbA1c-levels in poorly regulated adolescents with T1DM. More research with a larger population is necessary to evaluate the value of psycho-educational programs in this age-group.
Published Online: 2011-03-16
Published in Print: 2011-03-01
©2011 by Walter de Gruyter Berlin New York
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