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Aileen Robertson and Razia Amin

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Before Bed. 4.5 7.5. Before Other Meals. 5.5 7.5. Before Breakfast. Target Blood Glucose Levels (mmol/l) HbA1C = 6.0 7.0 ... – PowerPoint PPT presentation

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Title: Aileen Robertson and Razia Amin


1
Welcome to DAFNE
  • Aileen Robertson and Razia Amin
  • DAFNE Educators
  • Diabetes Centre
  • NHS Grampian
  • Grampian Diabetes Professional Conference
  • 24th May 2006

2
Case Study
  • Mike 35 years old
  • Poor glycaemic control
  • Nocturnal hypoglycaemia
  • Complications
  • To switch to a basal bolus regimen

3
Background
  • Dose Adjustment For Normal Eating
  • 5 day structured education for type 1 diabetes
  • Self management, confidence and competency
  • Started in UK in 2000 (Scotland in 2005)
  • BMJ 2002 325 746-751

4
Inclusion Criteria
  • Type 1 diabetes - post honeymoon period
  • Over age 17 years
  • HbA1c lt 12
  • Motivated to improve control
  • Able to read and converse English
  • Able to attend a full 5 day course
  • Willing to test and inject at least 4 times a day
  • 8 participants per group

5
Patient Costs
  • Baseline clinic visit (individual appt)
  • 5 day course
  • Follow up 6 - 8 weeks post DAFNE
  • Follow up 12 18 months post DAFNE

6
Evidence
  • 0.5 reduction in HbA1c
  • Improvements in QoL
  • No increase in hypoglycaemia
  • No weight gain
  • BMJ 2002 325 746-751
  • NICE Guideline 60, Diabetes UK report

7
DAFNE Timetable
8
DAFNE Targets
HbA1C 6.0 7.0
9
  • …This is a must for all diabetics.
  • Fantastic it is like a light bulb being
    switched on after being in the dark for the past
    25 years.
  • Fantastic. This week has gifted me with the
    tools I have been missing over the years.
  • To be in control of me for the first time ..
  • I understand more about diabetes now than I
    managed to pick up in twenty years.
  • Looking forward to life now, not dreading it.

10
  • This course is essential. The value of the
    course and its content cannot be
    underestimated.
  • An amazing week, not only can I now eat what I
    want but I can live a normal life. Suddenly
    diabetes is no challenge.
  • Instead of being ruled by my diabetes I will
    control it.
  • This week has taught be how to live with
    diabetes rather than fighting it on a daily
    basis. Everyone with type 1 diabetes should have
    the opportunity to live a normal life.

11
Case Study
  • Mike 35 years old
  • Poor glycaemic control
  • Nocturnal hypoglycaemia
  • Complications
  • To switch to a basal bolus regimen

12
Questions ??
13
www.dafne.uk.com
  • Aileen Robertson
  • Senior Dietitian
  • Diabetic Clinic
  • Woolmanhill
  • Aberdeen
  • Tel (01224) 555221
  • aileen.robertson_at_nhs.net
  • Razia Amin
  • DSN
  • Diabetic Clinic
  • Woolmanhill
  • Aberdeen
  • Tel (01224) 555471
  • razia.amin_at_nhs.net
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