A new approach in insulin pump education improves glycemic outcomes: a randomized controlled trial.

IF 3.1 3区医学 Q2 ENDOCRINOLOGY & METABOLISM Acta Diabetologica Pub Date : 2024-08-22 DOI:10.1007/s00592-024-02340-y

Karen Rytter, Anette Hougaard, Anne Grynnerup Skouboe, Nermin Serifovski, Ajenthen Gayathri Ranjan, Kirsten Nørgaard

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Abstract

Aims: To address the scarcity of continued education for insulin pump users, we developed and evaluated a new program (NP) for individuals transitioning to a different insulin pump.

Methods: In a randomized, controlled 3-month study, adults with type 1 diabetes and suboptimal HbA1c received either NP or usual care program (UC). The NP was designed in collaboration with representatives of the target group and incorporated technical training, case-based learning, and peer experience sharing - encompassing two group sessions, and two follow-up telephone calls. The UC included a single training session led by the pump company with hotline assistance (clinic) but no structured follow-up. The primary endpoint was the difference in time in range (TIR) (70-180 mg/dL (3.9-10.0 mmol/L)), measured by continuous glucose monitoring from baseline to 3 months post-course. Psychosocial self-efficacy was measured by the Diabetes Empowerment Scale (DES-SF).

Results: Thirty-nine participants (median age 43, 74% female) were included. Mean TIR increased significantly in the NP group and remained unchanged in the UC group (between-group difference in change was 13.5% [95% CI: 4.0 to 22.9], p = 0.0064). Psychosocial self-efficacy improved and HbA1c decreased only significantly in the NP group.

Conclusions: Applying a novel education program at pump transition significantly improved glycemic outcomes and self-efficacy.

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胰岛素泵教育的新方法可改善血糖结果：随机对照试验。

目的：为了解决胰岛素泵使用者持续教育匮乏的问题，我们为过渡到不同胰岛素泵的患者开发并评估了一项新计划（NP）：在一项为期 3 个月的随机对照研究中，患有 1 型糖尿病且 HbA1c 不达标的成人接受了 NP 或常规护理计划（UC）。NP 是与目标群体的代表合作设计的，包括技术培训、基于案例的学习和同伴经验分享--包括两次小组会议和两次后续电话。UC 包括由泵公司主导的单次培训课程和热线援助（诊所），但没有结构化的后续行动。主要终点是通过连续血糖监测测量从基线到课程结束后 3 个月的在量程（70-180 毫克/分升（3.9-10.0 毫摩尔/升））内时间的差异。社会心理自我效能通过糖尿病赋权量表（DES-SF）进行测量：共纳入 39 名参与者（中位年龄 43 岁，74% 为女性）。NP 组的平均 TIR 显著增加，UC 组保持不变（组间变化差异为 13.5% [95% CI：4.0 至 22.9]，P = 0.0064）。社会心理自我效能得到改善，HbA1c 仅在 NP 组显著下降：结论：在泵过渡时期应用新颖的教育计划可显著改善血糖结果和自我效能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Diabetologica 医学-内分泌学与代谢

CiteScore

7.30

自引率

2.60%

发文量

180

审稿时长

2 months

期刊介绍： Acta Diabetologica is a journal that publishes reports of experimental and clinical research on diabetes mellitus and related metabolic diseases. Original contributions on biochemical, physiological, pathophysiological and clinical aspects of research on diabetes and metabolic diseases are welcome. Reports are published in the form of original articles, short communications and letters to the editor. Invited reviews and editorials are also published. A Methodology forum, which publishes contributions on methodological aspects of diabetes in vivo and in vitro, is also available. The Editor-in-chief will be pleased to consider articles describing new techniques (e.g., new transplantation methods, metabolic models), of innovative importance in the field of diabetes/metabolism. Finally, workshop reports are also welcome in Acta Diabetologica.