التفاصيل البيبلوغرافية
| العنوان: |
A new approach in insulin pump education improves glycemic outcomes: a randomized controlled trial. |
| المؤلفون: |
Rytter, Karen1,2,3 (AUTHOR) karen.rytter@regionh.dk, Hougaard, Anette1 (AUTHOR) anette.hougaard@regionh.dk, Skouboe, Anne Grynnerup1 (AUTHOR) anne.grynnerup.skouboe.01@regionh.dk, Serifovski, Nermin1 (AUTHOR) nermin.serifovski.01@regionh.dk, Ranjan, Ajenthen Gayathri3 (AUTHOR) ajenthen.ranjan@regionh.dk, Nørgaard, Kirsten1,2,3 (AUTHOR) kirsten.noergaard@regionh.dk |
| المصدر: |
Acta Diabetologica. Jan2025, Vol. 62 Issue 1, p87-94. 8p. |
| مصطلحات موضوعية: |
*CONTINUOUS glucose monitoring, *TYPE 1 diabetes, *INSULIN pumps, *CASE-based reasoning, *TELEPHONE calls |
| مستخلص: |
Aims: To address the scarcity of continued education for insulin pump users, we developed and evaluated a new program (NP) for individuals transitioning to a different insulin pump. Methods: In a randomized, controlled 3-month study, adults with type 1 diabetes and suboptimal HbA1c received either NP or usual care program (UC). The NP was designed in collaboration with representatives of the target group and incorporated technical training, case-based learning, and peer experience sharing – encompassing two group sessions, and two follow-up telephone calls. The UC included a single training session led by the pump company with hotline assistance (clinic) but no structured follow-up. The primary endpoint was the difference in time in range (TIR) (70–180 mg/dL (3.9–10.0 mmol/L)), measured by continuous glucose monitoring from baseline to 3 months post-course. Psychosocial self-efficacy was measured by the Diabetes Empowerment Scale (DES-SF). Results: Thirty-nine participants (median age 43, 74% female) were included. Mean TIR increased significantly in the NP group and remained unchanged in the UC group (between-group difference in change was 13.5% [95% CI: 4.0 to 22.9], p = 0.0064). Psychosocial self-efficacy improved and HbA1c decreased only significantly in the NP group. Conclusions: Applying a novel education program at pump transition significantly improved glycemic outcomes and self-efficacy. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
Academic Search Index |