LINDA: the diabetes self-management training programme for people with type 1 or type 2 diabetes
DOI:
https://doi.org/10.1002/edn.90Keywords:
Type 1 diabetes, type 2 diabetes, diabetes education, self-management, empowerment, disease management programmeAbstract
AbstractBackground: The LINDA education programme (LIP) is a new diabetes self-management tool for people with type 1 or type 2 diabetes mellitus (DM).
Aim: To compare LIP with a standard education programme (control group, CG).
Method: Clinical and behavioural data from 1109 DM patients, with mean diabetes duration of 12.6 years. A total of 374 type 2 non-insulin treated [T2]; 449 type 2 insulin-treated [T2I]; 286 type 1 [T1]) were evaluated over one year with the LIP in a randomised, controlled, three-arm study, or in a multicentre study.
Results: T2 LIP patients achieved lower mean glycosylated haemoglobin (HbA1c, 6.2%) and a reduction in body mass index (BMI) of 0.8 kg/m2. T2 CG patients reached a mean HbA1c of 7% and showed an increase in BMI of 0.7 kg/m2. Mean blood pressure (BP) improved from 145/85 mmHg to 134/80 mmHg in T2 LIP patients, and from 145/84 mmHg to 141/80 mmHg in the CG. Triglyceride and cholesterol levels decreased in both groups. T2I patients reached a mean HbA1c of 6.7% in the LIP group and 7.5% in the CG. BP fell to 136/79 mmHg in LIP patients and 138/79 mmHg in the CG. Triglyceride and cholesterol levels also decreased in both groups. For T1 patients, mean HbA1c fell to 6.8% LIP; mean in CG patients reached 7.4%. A quality of life (QoL) questionnaire showed improvements from 20% to 80% in people who used the LIP.
Conclusions: Patients who used the LIP achieved nearly normal values for HbA1c and BP. Type 2 diabetes patients using LIP showed weight reduction and marked QoL improvement.
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