Growth of Structured Education for People with Type 1 Diabetes in the UK.

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Growth of Structured Education for People with
Type 1 Diabetes in the UK.

• Joan Everett (on behalf of Diabetes Education
  Network)
• www.diabetes-education.net

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Type 1 education does it work in the UK?
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Diabetes Education NetworkAudit data

• Collected from 7 centres
• Bristol
• Bournemouth
• Eastbourne
• Gwent
• Luton
• Peterborough
• Torquay

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HbAIc
Baseline mean (sd) 1 year mean (sd) p value
All 8.71 (1.4) n549 8.39 (1.29) n284 lt0.001
gt7.5 at baseline 9.13 (1.19) n448 8.68 (1.18) n211 lt0.001
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Weight
N209 Baselinemean (SD) 1 year mean (SD) p value
Weight 75.3 Kg (15.5) 74.8 Kg (14.2) n/s
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Problem Area In Diabetes
N177 Baseline mean (SD) 1 year mean (SD) p value
Problem Area in Diabetes (PAID) 29.5 (19.8) 18.3 (15.5) lt0.001
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DKA
Baseline 1 year
DKA episodes per year (no of patients) 36 (393) 6 (135)
Episode per patient per year 0.09 0.04
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Hypoglycaemia
Baseline 1 year
Total hypos / year (no of patients) 410 (404) 34 (121)
Hypos -paramedic 107 0

Total hypos per patient per year 1.02 0.28
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Summary

• Education for type 1 diabetes patients has
  improved due to political and clinical influence
• DEN has been successful in supporting and
  training teams to deliver structured education
  for type 1 patients
• Audit data shows reduced HbAIc, DKA and
  hypoglycaemia episodes and an improved quality of
  life
• Good progress has been made since 2000
• education programmes available in 2/3 of health
  districts
• Emerging framework for quality control

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Next steps

• To integrate ongoing education into long term
  follow up (educational model of care)
• To ensure availability of education in all areas
• To develop generic accreditation for centres and
  educators