Effectiveness of a flash glucose monitoring systems implementation program through a group and telematic educational intervention in adults with type 1 diabetes.
Endocrinol Diabetes Nutr (Engl Ed)
; 69(9): 657-668, 2022 Nov.
Article
in English
| MEDLINE | ID: covidwho-2120324
ABSTRACT
OBJECTIVES:
Verifying the clinical effectiveness and the impact on quality-of-life parameters, fear of hypoglycaemia and satisfaction with the treatment obtained with a flash glucose monitoring (MFG) devices implantation program that includes a telematic and group educational intervention in adults with type 1 diabetes. PATIENTS ANDMETHODS:
Prospective quasi-experimental study, carried out during the COVID-19 pandemic period with a 9-month follow-up at the Virgen Macarena University Hospital, Sevilla.RESULTS:
Eighty-eight participants were included (men 46.6%; mean age (years) 38.08, SD 9.38); years of DM1 evolution 18.4 (SD 10.49); treatment with multiple doses insulin (MDI) 70.5% vs 29.5% subcutaneous insulin infusion therapy (CSII)). Baseline HbA1c was 7.74% (1.08). After the intervention, the global decrease in HbA1c was -0.45% (95% CI [-0.6, -0.25], Pâ¯<â¯0.01), increasing to -1.08% in the group that started with HbA1câ¯≥â¯8% (Pâ¯<â¯0.01). A mean decrease in the Fear of Hypoglycemia 15 (FH15) test score of -6.5 points was observed (Pâ¯<â¯0.01). In the global score of the Spanish version of Diabetes Quality Of Life (DQOL-s) test, the decrease was -8.44 points (Pâ¯<â¯0.01). In Diabetes Treatment Satisfaction Questionnaire test (DTQ-s), global score increased in + 4 points (Pâ¯<â¯0.01).CONCLUSIONS:
The incorporation of an educational program in group and telematic format within the development of MFG devices implantation strategies is an effective option, with associated benefits in quality of life and fear of hypoglycemia in adult patients with DM1. This option can be implemented in usual clinical practice.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Diabetes Mellitus, Type 1
/
COVID-19
/
Hypoglycemia
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Endocrinol Diabetes Nutr (Engl Ed)
Year:
2022
Document Type:
Article
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