Abstract
Objectives: Adherence to diabetes management tasks in type 1 diabetes mellitus (T1DM) patients deteriorates during puberty. This causes glycemic dysregulation, which accelerates the development of long-term complications.
Methods: The data of 25 poorly regulated T1DM-patients were compared before and 3 and 9 months after a psycho-educational program. Data were extracted from patient's records. The psycho-educational program consisted of three sessions for the patients and one for the parents in a 3-month period.
Results: HbA(1c)-levels at baseline (10.0 +/- 0.72%), decreased by 0.65% after 9 months follow-up (p = 0.08). A subgroup of 15 patients showed a clinical significant HbA(1c)-reduction of = 0.5% at 9 months follow-up (subgroup A), with a mean reduction of 1.6%.
Conclusions: These encouraging results show that a psycho-educational program can be of benefit in improving HbA(1c) levels in poorly regulated adolescents with T1DM. More research with a larger population is necessary to evaluate the value of psycho-educational programs in this age-group.
| Original language | English |
|---|---|
| Pages (from-to) | 15-19 |
| Number of pages | 5 |
| Journal | Journal of Pediatric Endocrinology & Metabolism |
| Volume | 24 |
| Issue number | 1-2 |
| DOIs | |
| Publication status | Published - Mar 2011 |
| Externally published | Yes |
Keywords
- adherence
- adolescents
- diabetes mellitus
- psycho-education
- T1DM
- COMPLICATIONS
- NETHERLANDS
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