rss
Evid Based Nurs 6:77 doi:10.1136/ebn.6.3.77
  • Treatment

Training in flexible intensive insulin management improved glycaemic control and quality of life in type 1 diabetes


 
 QUESTION: Does training in flexible intensive insulin management (combining dietary freedom and insulin adjustment) improve glycaemic control and quality of life in patients with type 1 diabetes?

Design

Randomised (allocation concealed), unblinded, controlled trial with follow up at 6 months (Dose Adjustment for Normal Eating [DAFNE] trial).

Setting

3 hospital diabetes clinics in Sheffield, Northumbria, and London, UK.

Patients

169 patients >18 years of age with clinical features of type 1 diabetes, moderate or poor glycaemic control (glycated haemoglobin [HbA1c] 7.5–12%), and duration of diabetes >2 years without advanced complications. Exclusion criteria were inability to understand English or identify hypoglycaemia, severe psychiatric illness, and pregnancy. 136 patients (80%) completed baseline and 6 month assessments (mean age 40 y, 56% women).

Intervention

84 patients were allocated to the intervention, which comprised a 5 day skills course delivered by 2–3 educators …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article