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Structured Education for Type 1 Diabetes Ruth Miller Lead Diabetes Nurse Royal Free Hospital

Structured Education for Type 1 Diabetes Ruth Miller Lead Diabetes Nurse Royal Free Hospital. background. DCCT 1993 (Diabetes control & complications trial) Conclusions could be interpreted that higher level of educational input supported improved Hba1c. German Education Model.

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Structured Education for Type 1 Diabetes Ruth Miller Lead Diabetes Nurse Royal Free Hospital

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  1. Structured Education for Type 1 Diabetes Ruth Miller Lead Diabetes Nurse Royal Free Hospital

  2. background • DCCT 1993 (Diabetes control & complications trial) • Conclusions could be interpreted that higher level of educational input supported improved Hba1c

  3. German Education Model In 1990’s Several UK centres visited Germany to see how the German diabetes education model worked. Their results demonstrated: • Improved hba1c • Reduced hypoglyceamia • This led to DAFNE and programmes for T2DM with strong evidence base

  4. Types of courses • T1DM • dafne & bertie • T2DM • desmond & Xpert

  5. UCLH • Have 408 patients DAFNE trained at UCLH. • 2014: have trained 35 and running 11 courses.

  6. RFH • Have 350 patients trained on Type 1 Course • 5 courses per year • Structured education course for patients on insulin pump therapy • 2 courses per year • 40 patients annually

  7. structured education courses What are they and how do they differ from one to one consultations? • Curriculum • Group effect and learning from peers • Cost effective

  8. objectives • To create an open and non judgemental space where individuals can ask questions and learn from peers • To question negative feelings associated with T1DM • Teach the principles of matching insulin doses to meals by counting carbohydrate • Provide real life experience to support people to manage diabetes in their own lives

  9. RFH Audit 2012 • 140 patients audited • Around 40 patients complete course annually • 59% reduced HbA1c 6/12 post course average reduction 1.1% • 19% Had no significant change in HbA1c • Many patients referred to RFH with hypo unawareness

  10. Audit continued.. • Many patients reported improved hypo awareness post course • 14% increase in HbA1c ( most of these had psychological barriers e.g depression, eating disorder, recent death of a relative or significant illness)  • Quality of life scores showed significant improvements in well being and satisfaction with treatment

  11. DOH/DUK key criteria • Learning theory philosophy • Curriculum • Trained educators • Quality assured (peer review) • Audited • QISMET ratification/validation quality institute for self management educating and training

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