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Age Ageing. 2009 Jul;38(4):390-6. doi: 10.1093/ageing/afp056. Epub 2009 May 18.

SGS: a structured treatment and teaching programme for older patients with diabetes mellitus--a prospective randomised controlled multi-centre trial.

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1
Bethanien Hospital Heidelberg, Geriatrics Department at the University of Heidelberg, Heidelberg, Germany.

Abstract

OBJECTIVES:

evaluation of the effectiveness of a new structured diabetes teaching and treatment programme (DTTP) with specific didactical approaches and topics for geriatric patients with diabetes mellitus.

DESIGN:

a prospective randomised controlled multi-centre trial.

SETTING AND PARTICIPANTS:

a total of 155 geriatric patients were randomly admitted to either the new DTTP SGS (n = 83) or the standard DTTP (n = 72) for insulin-treated patients with type 2 diabetes mellitus (HbA1c 8.0 +/- 1.4%, age 76.2 +/- 6.3 years).

MEASUREMENTS:

biometrical data, metabolic control, acute complications, diabetes knowledge, self-management.

RESULTS:

SGS participants showed improved levels of HbA1c 6 months after the DTTP, and less acute complications than the standard group (P<0.009). Both groups demonstrated a good capacity for diabetes self-management and improvement in diabetes knowledge after the DTTP (P<0.01).

CONCLUSION:

the new SGS diabetes education programme, focusing on the learning capabilities and the particular needs of older persons, is effective in improving metabolic control and in maintaining auto-sufficiency in geriatric patients with diabetes mellitus.

PMID:
19454403
PMCID:
PMC2699189
DOI:
10.1093/ageing/afp056
[Indexed for MEDLINE]
Free PMC Article
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