营养教育对开始使用血糖传感器的1型糖尿病患者血糖结局的影响

IF 2.6 Q3 ENDOCRINOLOGY & METABOLISM

Endocrinology, Diabetes and Metabolism Pub Date : 2025-03-23 DOI:10.1002/edm2.70047

Vendula Navrátilová, Eliška Zadáková, Jan Šoupal, Jan Škrha Jr., Quoc Dat Do, Lucie Radovnická, Aneta Hásková, Martin Prázný, Eva Horová

{"title":"营养教育对开始使用血糖传感器的1型糖尿病患者血糖结局的影响","authors":"Vendula Navrátilová, Eliška Zadáková, Jan Šoupal, Jan Škrha Jr., Quoc Dat Do, Lucie Radovnická, Aneta Hásková, Martin Prázný, Eva Horová","doi":"10.1002/edm2.70047","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>To determine whether people with type 1 diabetes (T1D) initiating glucose sensor monitoring experience greater improvements in HbA1c when provided with education on carbohydrate counting and flexible insulin dosing than those who do not receive nutrition education.</p>\n </section>\n \n <section>\n \n <h3> Materials and Methods</h3>\n \n <p>Our retrospective observational study included 329 people with T1D initiating glucose sensor monitoring between 2015 and 2021. The participants were divided into two groups: one group attended at least one structured educational session with a registered dietitian (<i>n</i> = 126), while the other group did not receive structured education (<i>n</i> = 203). After 12 months of glucose sensor initiation, we compared glycaemic outcomes and CGM metrics between the two groups.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>At glucose sensor initiation, both groups with and without education had similar HbA1c levels (7.64% [60.0 mmol/mol] vs. 7.66% [60.2 mmol/mol]). After twelve months, the education group demonstrated greater improvement in glycemic outcomes (HbA1c 7.17% [54.9mmol/mol] vs. 7.37% [57.1 mmol/mol], <i>p</i> < 0.05) and spent significantly more time in the target range than did the group without structured education (68.8% vs. 64.1%, <i>p</i> < 0.05). We observed an inverse correlation between the number of completed educational sessions and HbA1c after 12 months, as well as between the number of educational sessions and the change in HbA1c.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>People with T1D who initiated glucose sensor monitoring alongside nutrition education showed greater improvements in HbA1c and increased time spent in the target glucose range compared to individuals who did not receive structured education.</p>\n </section>\n \n <section>\n \n <h3> Trail Registration</h3>\n \n <p>ClinicalTrials.gov identifier: NCT06264271</p>\n </section>\n </div>","PeriodicalId":36522,"journal":{"name":"Endocrinology, Diabetes and Metabolism","volume":"8 2","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/edm2.70047","citationCount":"0","resultStr":"{\"title\":\"The Effect of Nutrition Education on Glycemic Outcomes in People With Type 1 Diabetes Initiating the Use of Glucose Sensors\",\"authors\":\"Vendula Navrátilová, Eliška Zadáková, Jan Šoupal, Jan Škrha Jr., Quoc Dat Do, Lucie Radovnická, Aneta Hásková, Martin Prázný, Eva Horová\",\"doi\":\"10.1002/edm2.70047\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>To determine whether people with type 1 diabetes (T1D) initiating glucose sensor monitoring experience greater improvements in HbA1c when provided with education on carbohydrate counting and flexible insulin dosing than those who do not receive nutrition education.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Materials and Methods</h3>\\n \\n <p>Our retrospective observational study included 329 people with T1D initiating glucose sensor monitoring between 2015 and 2021. The participants were divided into two groups: one group attended at least one structured educational session with a registered dietitian (<i>n</i> = 126), while the other group did not receive structured education (<i>n</i> = 203). After 12 months of glucose sensor initiation, we compared glycaemic outcomes and CGM metrics between the two groups.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>At glucose sensor initiation, both groups with and without education had similar HbA1c levels (7.64% [60.0 mmol/mol] vs. 7.66% [60.2 mmol/mol]). After twelve months, the education group demonstrated greater improvement in glycemic outcomes (HbA1c 7.17% [54.9mmol/mol] vs. 7.37% [57.1 mmol/mol], <i>p</i> < 0.05) and spent significantly more time in the target range than did the group without structured education (68.8% vs. 64.1%, <i>p</i> < 0.05). We observed an inverse correlation between the number of completed educational sessions and HbA1c after 12 months, as well as between the number of educational sessions and the change in HbA1c.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>People with T1D who initiated glucose sensor monitoring alongside nutrition education showed greater improvements in HbA1c and increased time spent in the target glucose range compared to individuals who did not receive structured education.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Trail Registration</h3>\\n \\n <p>ClinicalTrials.gov identifier: NCT06264271</p>\\n </section>\\n </div>\",\"PeriodicalId\":36522,\"journal\":{\"name\":\"Endocrinology, Diabetes and Metabolism\",\"volume\":\"8 2\",\"pages\":\"\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-03-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/edm2.70047\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Endocrinology, Diabetes and Metabolism\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/edm2.70047\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Endocrinology, Diabetes and Metabolism","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/edm2.70047","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}

引用次数: 0

摘要

目的：研究1型糖尿病（T1D）患者在接受碳水化合物计数和灵活胰岛素剂量教育后，其HbA1c是否比未接受营养教育的患者有更大的改善。我们的回顾性观察研究纳入了2015年至2021年间启动葡萄糖传感器监测的329例T1D患者。参与者被分为两组：一组参加了至少一次有注册营养师的结构化教育课程（n = 126），而另一组没有接受结构化教育（n = 203）。在开始使用葡萄糖传感器12个月后，我们比较了两组的血糖结局和CGM指标。结果在葡萄糖传感器启动时，接受教育和未接受教育的两组HbA1c水平相似（7.64% [60.0 mmol/mol] vs. 7.66% [60.2 mmol/mol]）。12个月后，教育组在血糖结果方面表现出更大的改善（HbA1c为7.17% [54.9mmol/mol] vs. 7.37% [57.1 mmol/mol], p < 0.05），并且在目标范围内停留的时间明显多于未接受结构化教育组（68.8% vs. 64.1%, p < 0.05）。我们观察到12个月后完成教育课程的次数与HbA1c之间呈负相关，教育课程的次数与HbA1c的变化之间也呈负相关。结论：与未接受结构化教育的患者相比，接受葡萄糖传感器监测和营养教育的T1D患者的HbA1c改善更大，在目标血糖范围内停留的时间更长。临床试验注册ClinicalTrials.gov标识符：NCT06264271

本文章由计算机程序翻译，如有差异，请以英文原文为准。

The Effect of Nutrition Education on Glycemic Outcomes in People With Type 1 Diabetes Initiating the Use of Glucose Sensors

查看原文本刊更多论文

The Effect of Nutrition Education on Glycemic Outcomes in People With Type 1 Diabetes Initiating the Use of Glucose Sensors

Aim

To determine whether people with type 1 diabetes (T1D) initiating glucose sensor monitoring experience greater improvements in HbA1c when provided with education on carbohydrate counting and flexible insulin dosing than those who do not receive nutrition education.

Materials and Methods

Our retrospective observational study included 329 people with T1D initiating glucose sensor monitoring between 2015 and 2021. The participants were divided into two groups: one group attended at least one structured educational session with a registered dietitian (n = 126), while the other group did not receive structured education (n = 203). After 12 months of glucose sensor initiation, we compared glycaemic outcomes and CGM metrics between the two groups.

Results

At glucose sensor initiation, both groups with and without education had similar HbA1c levels (7.64% [60.0 mmol/mol] vs. 7.66% [60.2 mmol/mol]). After twelve months, the education group demonstrated greater improvement in glycemic outcomes (HbA1c 7.17% [54.9mmol/mol] vs. 7.37% [57.1 mmol/mol], p < 0.05) and spent significantly more time in the target range than did the group without structured education (68.8% vs. 64.1%, p < 0.05). We observed an inverse correlation between the number of completed educational sessions and HbA1c after 12 months, as well as between the number of educational sessions and the change in HbA1c.

Conclusions

People with T1D who initiated glucose sensor monitoring alongside nutrition education showed greater improvements in HbA1c and increased time spent in the target glucose range compared to individuals who did not receive structured education.