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Randomized Controlled Trial
. 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

Anke K Braun  1 , Thomas Kubiak, Jörn Kuntsche, Martina Meier-Höfig, Ulrich A Müller, Irene Feucht, Andrej Zeyfang
Affiliations
Randomized Controlled Trial

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

Anke K Braun et al. Age Ageing. 2009 Jul.

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.

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