期刊
DIABETES CARE
卷 36, 期 2, 页码 270-272出版社
AMER DIABETES ASSOC
DOI: 10.2337/dc12-0080
关键词
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资金
- NIHR [RP-PG-0606-1184]
- National Institute for Health Research [NF-SI-0611-10248, RP-PG-0606-1184] Funding Source: researchfish
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. Diabetes Care 36:270-272, 2013
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