Reduction of HbA1c and diabetes-related distress after intervention in a diabetes day care clinic in people with type 2 diabetes but not with type 1 diabetes
Reduction of HbA1c and diabetes-related distress after intervention in a diabetes day care clinic in people with type 2 diabetes but not with type 1 diabetes
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DOI：
10.1055/s-0043-112862
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发表时间：
2018-04-01
影响因子：
1.8
通讯作者：
Kramer, Guido
中科院分区：
文献类型：
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作者：
Kuniss, Nadine;Mueller, Ulrich Alfons;Kramer, Guido
目的 这项前瞻性纵向研究的目的是评估因糖尿病相关问题而接受治疗的 1 型糖尿病 (DM1) 和 2 型糖尿病 (DM2) 患者的糖尿病相关痛苦，并评估在糖尿病日托诊所 (DDC) 进行干预后，糖尿病带来的痛苦是否减少。 72 名患有糖尿病特定问题（18 名 DM1、54 名 DM2）的 DDC 因代谢疾病而入院，PAID 评分≥ 40 被视为与糖尿病相关的高压力。结果 DM1 患者的 PAID 评分在 T0、T1 和 T2 之间没有显着差异。此外，在 DM2 参与者中，HbA1c 和胰岛素剂量均没有显着下降。 T0 至 T1（18.4 +/- 15.9 对比 15.4 +/- 13.0，p=0.042）并保留了 T2 时的益处（15.0 +/- 13.3） 此外，HbA1c 显着降低（-1.2%，p）。
Objective The aim of this prospective, longitudinal study was to assess diabetes-related distress in people with diabetes mellitus type 1 (DM1) and type 2 (DM2) treated for diabetes-related problems and to evaluate, whether distress by diabetes are reduced after intervention in a diabetes day care clinic (DDC).Methods Diabetes-related burden was assessed with the "Problem Area In Diabetes (PAID) questionnaire before (T0), directly after (T1) and 6 months after intervention (T2) in the DDC in 72 people (18 DM1, 54 DM2) admitted with a diabetes-specific problem to a DDC in a University department for metabolic diseases. A PAID score of >= 40 was considered as high diabetes-related distress.Results The PAID score in people with DM1 was not significantly different between T0, T1 and T2. Furthermore, neither HbA1c nor insulin dose did change at T2. In participants with DM2, the PAID score decreased significantly from T0 to T1 (18.4 +/- 15.9 vs. 15.4 +/- 13.0, p=0.042) and preserved the benefit at T2 (15.0 +/- 13.3). In addition, there was a significant reduction in HbA1c (-1.2%, p