Insulin pump therapy in type 1 diabetes mellitus: education effectiveness and quality of life

Aim. To compare efficacy of special structured program for type 1 diabetes mellitus (DM) group education between users of an integratedreal-time (RT) continuous glucose monitoring (CGM)/continuous subcutaneous insulin infusion (CSII) systems and patientson CSII and self-monitoring of blood glucose...

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Autores principales:	Lyudmila Ibragimovna Ibragimova, Yury Ivanovich Filippov, Alexander Yur'evich Mayorov
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2012
Materias:	type 1 diabetes continuous subcutaneous insulin infusion training quality of life Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/b8318c97f31e42f0aa4610d374d4ce8e
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spelling	oai:doaj.org-article:b8318c97f31e42f0aa4610d374d4ce8e2021-11-14T09:00:17ZInsulin pump therapy in type 1 diabetes mellitus: education effectiveness and quality of life2072-03512072-037810.14341/2072-0351-5977https://doaj.org/article/b8318c97f31e42f0aa4610d374d4ce8e2012-03-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/5977https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aim. To compare efficacy of special structured program for type 1 diabetes mellitus (DM) group education between users of an integratedreal-time (RT) continuous glucose monitoring (CGM)/continuous subcutaneous insulin infusion (CSII) systems and patientson CSII and self-monitoring of blood glucose (SMBG).Methods. This 4 months trial included 39 adults (18 male, age 27 [24,0;35,0] years) with type 1 DM (duration of diabetes 12[8,0;18,0] years). All subjects were randomized to study groups: 20 in the CSII/SMBG arm and 19 in the RT-CGM/CSII arm. Allparticipants were provided with special structured program for group education of diabetes patients on insulin pump therapy. Qualityof life (QoL) was assessed with questionnaire SF-36. Results. Both groups were not significantly different in HbA1c, BMI and QoL at baseline. After 4 months HbA1c was significantly lowerin both study groups without increase in rate of hypoglycemia. Improvements in QoL were observed in psychic health score in the CSII/SMBG arm and in physical health and psychic health scores in the RT-CGM/CSII arm. There was no significant difference in HbA1c,BMI and QoL between groups. Conclusion. Transfer to CSII during group training under special structured program for patients with type 1 DM significantly improvesglycemic control regardless of glucose monitoring method. Both RT-CGM+CSII and SMBG+CSII amend several aspects of QoL.Finally, transfer to CSII during group training considerably reduces total consumption of trainers time without loss of training quality.Lyudmila Ibragimovna IbragimovaYury Ivanovich FilippovAlexander Yur'evich MayorovEndocrinology Research Centrearticletype 1 diabetescontinuous subcutaneous insulin infusiontrainingquality of lifeNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 15, Iss 1, Pp 35-40 (2012)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	type 1 diabetes continuous subcutaneous insulin infusion training quality of life Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	type 1 diabetes continuous subcutaneous insulin infusion training quality of life Nutritional diseases. Deficiency diseases RC620-627 Lyudmila Ibragimovna Ibragimova Yury Ivanovich Filippov Alexander Yur'evich Mayorov Insulin pump therapy in type 1 diabetes mellitus: education effectiveness and quality of life
description	Aim. To compare efficacy of special structured program for type 1 diabetes mellitus (DM) group education between users of an integratedreal-time (RT) continuous glucose monitoring (CGM)/continuous subcutaneous insulin infusion (CSII) systems and patientson CSII and self-monitoring of blood glucose (SMBG).Methods. This 4 months trial included 39 adults (18 male, age 27 [24,0;35,0] years) with type 1 DM (duration of diabetes 12[8,0;18,0] years). All subjects were randomized to study groups: 20 in the CSII/SMBG arm and 19 in the RT-CGM/CSII arm. Allparticipants were provided with special structured program for group education of diabetes patients on insulin pump therapy. Qualityof life (QoL) was assessed with questionnaire SF-36. Results. Both groups were not significantly different in HbA1c, BMI and QoL at baseline. After 4 months HbA1c was significantly lowerin both study groups without increase in rate of hypoglycemia. Improvements in QoL were observed in psychic health score in the CSII/SMBG arm and in physical health and psychic health scores in the RT-CGM/CSII arm. There was no significant difference in HbA1c,BMI and QoL between groups. Conclusion. Transfer to CSII during group training under special structured program for patients with type 1 DM significantly improvesglycemic control regardless of glucose monitoring method. Both RT-CGM+CSII and SMBG+CSII amend several aspects of QoL.Finally, transfer to CSII during group training considerably reduces total consumption of trainers time without loss of training quality.
format	article
author	Lyudmila Ibragimovna Ibragimova Yury Ivanovich Filippov Alexander Yur'evich Mayorov
author_facet	Lyudmila Ibragimovna Ibragimova Yury Ivanovich Filippov Alexander Yur'evich Mayorov
author_sort	Lyudmila Ibragimovna Ibragimova
title	Insulin pump therapy in type 1 diabetes mellitus: education effectiveness and quality of life
title_short	Insulin pump therapy in type 1 diabetes mellitus: education effectiveness and quality of life
title_full	Insulin pump therapy in type 1 diabetes mellitus: education effectiveness and quality of life
title_fullStr	Insulin pump therapy in type 1 diabetes mellitus: education effectiveness and quality of life
title_full_unstemmed	Insulin pump therapy in type 1 diabetes mellitus: education effectiveness and quality of life
title_sort	insulin pump therapy in type 1 diabetes mellitus: education effectiveness and quality of life
publisher	Endocrinology Research Centre
publishDate	2012
url	https://doaj.org/article/b8318c97f31e42f0aa4610d374d4ce8e
work_keys_str_mv	AT lyudmilaibragimovnaibragimova insulinpumptherapyintype1diabetesmellituseducationeffectivenessandqualityoflife AT yuryivanovichfilippov insulinpumptherapyintype1diabetesmellituseducationeffectivenessandqualityoflife AT alexanderyurevichmayorov insulinpumptherapyintype1diabetesmellituseducationeffectivenessandqualityoflife
_version_	1718429607130038272

Insulin pump therapy in type 1 diabetes mellitus: education effectiveness and quality of life

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