Juan José Gagliardino1, Jean-Marc Chantelot2, Catherine Domenger3, Ambady Ramachandran4, Ghaida Kaddaha5, Jean Claude Mbanya6, Marina Shestakova7, Juliana Chan8. 1. CENEXA Center of Experimental and Applied Endocrinology (La Plata National University - La Plata National Scientific and Technical Research Council), La Plata, Argentina. Electronic address: cenexaar@yahoo.com.ar. 2. Sanofi, Paris, France. Electronic address: Jean-Marc.Chantelot@sanofi.com. 3. Sanofi, Paris, France. Electronic address: Catherine.Domenger@sanofi.com. 4. India Diabetes Research Foundation, Dr. A. Ramachandran's Diabetes Hospitals, Chennai, India. Electronic address: ramachandran@ardiabetes.org. 5. Diabetology Unit, Government of Dubai, Dubai Health Authority, Dubai, United Arab Emirates. 6. Biotechnology Center, Doctoral School of Life Sciences, Health and Environment, and Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon. 7. Endocrinology Research Center, I.M.Sechenov First Moscow State Medical University, Moscow, Russia. 8. Department of Medicine and Therapeutics, The Chinese University of Hong Kong, The Prince of Wales Hospital, Shatin, Hong Kong Special Administrative Region. Electronic address: jchan@cuhk.edu.hk.
Abstract
AIMS: Self-management (self-monitoring of blood glucose, plus self-adjustment of insulin dose) is important in diabetes care, but its complexity presents a barrier to wider implementation, which hinders attainment and maintenance of glycemic targets. More evidence on self-management is needed to increase its implementation and improve metabolic outcomes. METHODS: Data from 1316 participants with type 1 diabetes mellitus who were enrolled from Middle East countries into the International Diabetes Management Practices Study (IDMPS), a multinational observational survey, were analyzed to assess the impact of education on disease management and outcomes. RESULTS: A majority (78%) of participants failed to achieve glycemic target (HbA1c < 7.0% [<53 mmol/mol]). Participants who had received diabetes education (59%) were more likely to practice self-management than those who had not (odds ratio [OR]: 2.51; 95% confidence interval [CI]: 1.7-3.69; p < 0.001), and those who practiced self-management were more likely to attain target HbA1c than those who did not (OR: 1.49; 95% CI: 1.06-2.09; p = 0.023). CONCLUSIONS: These relationships between diabetes education, self-management and glycemic control suggest that diabetes education provides knowledge and skills to optimize self-management, favoring HbA1c target attainment. Middle East health authorities should search for ways to facilitate access to diabetes education to optimize treatment outcomes.
AIMS: Self-management (self-monitoring of blood glucose, plus self-adjustment of insulin dose) is important in diabetes care, but its complexity presents a barrier to wider implementation, which hinders attainment and maintenance of glycemic targets. More evidence on self-management is needed to increase its implementation and improve metabolic outcomes. METHODS: Data from 1316 participants with type 1 diabetes mellitus who were enrolled from Middle East countries into the International Diabetes Management Practices Study (IDMPS), a multinational observational survey, were analyzed to assess the impact of education on disease management and outcomes. RESULTS: A majority (78%) of participants failed to achieve glycemic target (HbA1c < 7.0% [<53 mmol/mol]). Participants who had received diabetes education (59%) were more likely to practice self-management than those who had not (odds ratio [OR]: 2.51; 95% confidence interval [CI]: 1.7-3.69; p < 0.001), and those who practiced self-management were more likely to attain target HbA1c than those who did not (OR: 1.49; 95% CI: 1.06-2.09; p = 0.023). CONCLUSIONS: These relationships between diabetes education, self-management and glycemic control suggest that diabetes education provides knowledge and skills to optimize self-management, favoring HbA1c target attainment. Middle East health authorities should search for ways to facilitate access to diabetes education to optimize treatment outcomes.
Authors: Patricia Davidson; Jacqueline LaManna; Jean Davis; Maria M Ojeda; Suzanne Hyer; Jane K Dickinson; Andrew Todd; Tamara M Hammons; Shahariar Mohammed Fahim; Cassidi C McDaniel; Cynthia A McKee; Jennifer N Clements; Kirsten Yehl; Michelle L Litchman; Julia E Blanchette; Jan Kavookjian Journal: Sci Diabetes Self Manag Care Date: 2022-01-14
Authors: Jessica Alejandra Ruiz-Ramírez; Yury Arenis Olarte-Arias; Leonardo David Glasserman-Morales Journal: Int J Environ Res Public Health Date: 2021-06-15 Impact factor: 3.390