Effects of diabetes self-management education on glycaemic control in children with insulin-dependent diabetes mellitus

J Coll Physicians Surg Pak. 2010 Dec;20(12):802-5.

Abstract

Objective: To evaluate the effect of diabetes self-management education (DSME) on glycaemic control (HbA1c) in Pakistani children suffering from type-1 diabetes mellitus.

Study design: Quasi-experimental study.

Place and duration of study: This study was conducted at the Diabetic OPD of National Institute of Child Health, Karachi, from April to September 2009.

Methodology: Sixty children with a mean age of 9.94 years with type-1 Diabetes mellitus (T1DM) were selected conveniently from the diabetic OPD. The patients along with their parents/caregivers attended a modular series of diabetes self-management education program consisting of 2 sessions. Customized program was designed to educate children regarding general information about the disease, basic insulin therapy, planning for hypoglycaemia, hyperglycaemia, activity, traveling and basic nutritional management. It was conducted by a multidisciplinary paediatric diabetes team including an endocrinologist, general paediatrician, nutritionist and diabetic nurse. The educational sessions were followed by monthly revision exercises. HbA1c levels were measured at baseline and after 3 months and compared using paired sample t-test.

Results: Out of a total of 60 patients, 50 completed the trial. There was a significant decrease in the HbA1c levels after the DSME program. The mean pre- and postintervention HbA1c levels were 9.67±0.65 and 8.49±0.53 respectively with a p-value < 0.001.

Conclusion: In the studied group, DSME programs helped to improve glycaemic control. It should be an integral part of patient treatment in diabetic care setups.

MeSH terms

  • Blood Glucose / analysis*
  • Child
  • Diabetes Mellitus, Type 1 / blood
  • Diabetes Mellitus, Type 1 / therapy*
  • Female
  • Glycated Hemoglobin
  • Humans
  • Male
  • Pakistan
  • Patient Education as Topic*
  • Self Care*

Substances

  • Blood Glucose
  • Glycated Hemoglobin A