Effects of Structured Diabetes Education Program on diabetes knowledge and metabolic control in insulin-treated diabetes patients from Republic of Macedonia
Journal
Endocrine Oncology and Metabolism
Date Issued
2017-03-30
Author(s)
Smokovski, Ivica
Bozhinovska, Nadica
Rahelić, Dario
DOI
10.21040/eom/2017.3.1.1
Abstract
Background and Aims: We aimed to compare the diabetes knowledge
and metabolic control between insulin-treated diabetes patients who
completed structured and those who completed unstructured diabetes
education at diagnosis and to evaluate the effects of structured diabetes
education program (SDEP) on diabetes knowledge and metabolic control.
Subjects and Methods: Prospective, observational study of 59
insulin-treated diabetes patients invited for SDEP at University Clinic of
Endocrinology, Diabetes and Metabolic Disorders, Skopje, in the period from
March 2013 to December 2014 and divided into two groups if they completed
SDEP at diagnosis. Patients were tested for their diabetes knowledge (scale
of 0 to 100 points) before SDEP and immediately after SDEP and evaluated
for their metabolic control. Patients were invited 1 year after completion of
SDEP for evaluation of their diabetes knowledge and metabolic parameters.
Results: Groups were not significantly different in diabetes knowledge
before SDEP (67.3 ± 11.1 vs. 68.0 ± 13.1 points, P = 0.835), and results
improved in both groups after completion of SDEP (Group 1: 19.6 ± 8.9 points,
P < 0.001; Group 2: 16.9 ± 7.8 points, P < 0.001) with no significant difference
between groups. Diabetes knowledge 1 year after SDEP was significantly
higher in Group 2 (82.9 ± 7.8 vs. 76.6 ± 11.1 points, P = 0.014). Significant
reduction in glycated hemoglobin was obtained 1 year after SDEP within
both groups with no significant difference between groups.
Conclusion: Continuous SDEP results in sustainable increase in diabetes
knowledge and improved glycemic control, thus avoiding or delaying
diabetes complications, and reducing the burden on the society.
and metabolic control between insulin-treated diabetes patients who
completed structured and those who completed unstructured diabetes
education at diagnosis and to evaluate the effects of structured diabetes
education program (SDEP) on diabetes knowledge and metabolic control.
Subjects and Methods: Prospective, observational study of 59
insulin-treated diabetes patients invited for SDEP at University Clinic of
Endocrinology, Diabetes and Metabolic Disorders, Skopje, in the period from
March 2013 to December 2014 and divided into two groups if they completed
SDEP at diagnosis. Patients were tested for their diabetes knowledge (scale
of 0 to 100 points) before SDEP and immediately after SDEP and evaluated
for their metabolic control. Patients were invited 1 year after completion of
SDEP for evaluation of their diabetes knowledge and metabolic parameters.
Results: Groups were not significantly different in diabetes knowledge
before SDEP (67.3 ± 11.1 vs. 68.0 ± 13.1 points, P = 0.835), and results
improved in both groups after completion of SDEP (Group 1: 19.6 ± 8.9 points,
P < 0.001; Group 2: 16.9 ± 7.8 points, P < 0.001) with no significant difference
between groups. Diabetes knowledge 1 year after SDEP was significantly
higher in Group 2 (82.9 ± 7.8 vs. 76.6 ± 11.1 points, P = 0.014). Significant
reduction in glycated hemoglobin was obtained 1 year after SDEP within
both groups with no significant difference between groups.
Conclusion: Continuous SDEP results in sustainable increase in diabetes
knowledge and improved glycemic control, thus avoiding or delaying
diabetes complications, and reducing the burden on the society.
File(s)![Thumbnail Image]()
Loading...
Name
2017 Milenkovic Smokovski SDEP HDEO.pdf
Description
article
Size
381.95 KB
Format
Adobe PDF
Checksum
(MD5):c874063d3f66d49e7ed4dcf06e51a917