Management of adolescents with very poorly controlled type 1 diabetes by nurses: a parallel group randomized controlled trial

Trials
Behrouz KassaiMarc Nicolino

Abstract

Fluctuation in glycemia due to hormonal changes, growth periods, physical activity, and emotions make diabetes management difficult during adolescence. Our objective was to show that a close control of patients' self-management of diabetes by nurse-counseling could probably improve metabolic control in adolescents with type 1 diabetes. We designed a multicenter, randomized controlled, parallel group, clinical trial. Seventy seven adolescents aged 12-17 years with A1C >8% were assigned to either an intervention group (pediatrician visit every 3 months + nurse visit and phone calls) or to the control group (pediatrician visit every 3 months). The primary outcome was the evolution of the rate of A1C during the 12 months of follow-up. Secondary outcomes include patient's acceptance of the disease (evaluated by visual analog scale), the number of hypoglycemic or ketoacidosis episodes requiring hospitalization, and evaluation of A1C rate over time in each group. Seventy-seven patients were enrolled by 10 clinical centers. Seventy (89.6%) completed the study, the evolution of A1C and participants satisfaction over the follow-up period was not significantly influenced by the nurse intervention. Nurse-led intervention to improve A1C did...Continue Reading

References

Mar 5, 2002·Journal of Pediatric Endocrinology & Metabolism : JPEM·Jill Hamilton, Denis Daneman
May 17, 2003·BMJ : British Medical Journal·Veronica Morton, David J Torgerson
Feb 13, 2009·JAMA : the Journal of the American Medical Association·Deborah PeikesRandall Brown
Jan 4, 2013·Diabetes Care·UNKNOWN American Diabetes Association

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Citations

Oct 29, 2018·International Journal of Clinical Practice·Melanie Yee Lee Siaw, Joyce Yu-Chia Lee
May 7, 2021·Iranian Journal of Nursing and Midwifery Research·Mahnaz SanjariNeda Mehrdad

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