An educational programme and patient‐reported outcomes using flash glucose monitoring and automated bolus calculation in type 1 diabetes

IF 0.5 Q4 ENDOCRINOLOGY & METABOLISM

Practical Diabetes Pub Date : 2023-09-01 DOI:10.1002/pdi.2474

Linda H Raimond, Anna L Secher, Merete M Andersen, Adelaide EK Linddal, Anne G Skouboe, Kirsten Nørgaard

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Abstract

Abstract Introduction: Our primary aim was to describe the educational programme and user's guide for decision support for persons with type 1 diabetes who commence carbohydrate counting with automated bolus calculator (ABC) and flash (intermittently scanned) glucose monitoring (isCGM). The programme was developed for the ABC Flash trial, conducted in The Capital Region of Denmark in 2018–2020. We also aimed to evaluate the impact of the programme and the combined interventions on patient‐reported outcome parameters. Methods: The programme and user's guide are described in detail. In total, 35 adults with type 1 diabetes and sub‐optimal HbA 1c treated with multiple daily insulin injections completed the 26‐week educational programme on initiating ABC and isCGM. Patient‐reported outcomes were self‐evaluated before and after (Audit of Diabetes Dependent Quality of Life questionnaire, Diabetes Treatment Satisfaction Questionnaire, Problem Areas in Diabetes and Diabetes Empowerment Scale). Changes over time in the different sub‐areas of diabetes‐related burden on quality of life, treatment satisfaction, diabetes‐related distress and psychosocial self‐efficacy were analysed. Results: During participation in the educational programme on initiating ABC and isCGM, diabetes‐related burden on work and sex life and several treatment satisfaction and psychosocial self‐efficacy sub‐areas improved. Conclusion: Implementation of the educational programme and initiating combined intervention with carbohydrate counting with ABC and isCGM improve treatment satisfaction and different psychosocial areas among persons with type 1 diabetes. Copyright © 2023 John Wiley & Sons.

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1型糖尿病患者使用瞬时血糖监测和自动剂量计算的教育计划和患者报告的结果

摘要简介:我们的主要目的是描述1型糖尿病患者开始使用自动丸计算器(ABC)和闪烁(间歇性扫描)血糖监测(isCGM)进行碳水化合物计数的教育计划和决策支持的用户指南。该方案是为ABC Flash试验开发的，该试验于2018-2020年在丹麦首都地区进行。我们还旨在评估该方案和联合干预措施对患者报告的结果参数的影响。方法:详细介绍程序和使用指南。总共有35名接受每日多次胰岛素注射治疗的成人1型糖尿病患者完成了为期26周的ABC和isCGM启动教育计划。患者报告的结果在治疗前后进行自我评估(糖尿病依赖生活质量问卷审计、糖尿病治疗满意度问卷、糖尿病问题领域和糖尿病授权量表)。我们分析了糖尿病相关生活质量负担、治疗满意度、糖尿病相关痛苦和心理社会自我效能的不同子区域随时间的变化。结果:在参与ABC和isCGM教育项目期间，糖尿病相关的工作和性生活负担以及一些治疗满意度和心理社会自我效能分领域均有所改善。结论:教育方案的实施和碳水化合物计数与ABC和isCGM相结合的联合干预提高了1型糖尿病患者的治疗满意度和不同的心理社会领域。版权所有©2023 John Wiley &儿子。

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来源期刊

Practical Diabetes ENDOCRINOLOGY & METABOLISM-

CiteScore

1.10

自引率

16.70%

发文量

期刊介绍： Practical Diabetes concerns itself with all aspects of the worldwide clinical science and practice of diabetes medicine. The journal recognises the importance of each member of the healthcare team in the delivery of diabetes care, and reflects this diversity of professional interest in its editorial contents. The Editors welcome original papers, case reports, practice points, audit articles and letters on any aspect of clinical diabetes care from any part of the world. The journal also publishes commissioned leaders, review articles and educational and training series, for which an honorarium normally is paid. All articles submitted to Practical Diabetes are independently peer reviewed. They must not have been published or be under submission currently elsewhere. Enquiries from prospective authors are welcomed and the Editors will be pleased, if asked, to advise on preparation and submission of articles. All articles and enquiries should be directed to the Editors at the publishing address below. The journal is published nine times a year, and currently the average waiting time for acceptance of articles is eight weeks, and for subsequent publication sixteen weeks. Practical Diabetes is independent of any commercial or vested interest.