The influence of an educational program on the HbA(1c)-level of adolescents with type 1 diabetes mellitus: a retrospective study

Author(s):
Verbeek, S.; Vos, R.C.; Mul, D.; Houdijk, M.E.C.A.M.
Published
2011
Publication type
Article / Letter to editor

Abstract

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.|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.|HbA(1c)-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 HbA(1c)-reduction of > or = 0.5% at 9 months follow-up (subgroup A), with a mean reduction of 1.6%.|These encouraging results show that a psychoeducational program can be of benefit in improving HbA(1c)-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.

AdolescentBlood Glucose Child Diabetes Mellitus, Type 1 Directive Counseling Female Follow-Up Studies Glycated Hemoglobin A Humans Male Netherlands Patient Education as Topic Program Evaluation Psychotherapy Retrospective Studies
Date issued
2011
Language
English
Is part of
Journal of Pediatric Endocrinology and Metabolism (2011), Vol. 24, no. 1-2, p. 15-9
hdl
1887/95738
doi
10.1515/JPEM.2011.104
URL
https://www.ncbi.nlm.nih.gov/pubmed/21528809