Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Diabetes teaching--outcome analysis

H D Tildesley1, K Mair, J Sharpe

  • 1St. Paul's Hospital, Department of Medicine, University of British Columbia, Vancouver, Canada.

Patient Education and Counseling
|October 1, 1996
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Morphogenesis in robot swarms.

Science robotics·2020
Same author

A patient-centric approach to quality control and dosimetry in CT including CBCT.

Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB)·2018
Same author

Editorial: ONO-2952 in irritable bowel syndrome with diarrhoea - authors' reply.

Alimentary pharmacology & therapeutics·2017
Same author

Randomised clinical trial: exploratory phase 2 study of ONO-2952 in diarrhoea-predominant irritable bowel syndrome.

Alimentary pharmacology & therapeutics·2016
Same author

Morning vs evening dosing of the cathepsin K inhibitor ONO-5334: effects on bone resorption in postmenopausal women in a randomized, phase 1 trial.

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·2015
Same author

Reply: Nonmotor symptoms in subjects without evidence of dopaminergic deficits.

Movement disorders : official journal of the Movement Disorder Society·2015

This study shows that diabetes patients who attended a teaching center improved their A1c and home glucose monitoring over time. Despite improved control, insulin-dependent diabetes mellitus patients did not experience more hypoglycemic events.

Area of Science:

  • Endocrinology
  • Metabolic Diseases
  • Clinical Medicine

Background:

  • A comprehensive patient database has been maintained since 1984 at the St. Paul's Hospital Diabetes Teaching and Treatment Centre (DTTC).
  • Longitudinal outcome data are crucial for evaluating the effectiveness of diabetes management strategies.

Purpose of the Study:

  • To analyze the long-term outcomes of patients with different types of diabetes mellitus (DM) attending a specialized treatment center.
  • To assess changes in glycemic control (A1c), body weight (%IBW), and self-monitoring of blood glucose (HBGM) over time.

Main Methods:

  • A retrospective outcome study was conducted on four groups of patients: insulin-dependent diabetes mellitus (IDDM), diet-treated non-insulin-dependent diabetes mellitus (NIDDM), oral agent-treated NIDDM, and insulin-treated NIDDM.

Related Experiment Videos

  • Data analyzed included glycosylated hemoglobin (A1c), percent ideal body weight (%IBW), and home blood glucose monitoring frequency (HBGM/week).
  • Hypoglycemic events/month were analyzed specifically for the IDDM group.

    • Main Results:

    • Patients across all groups demonstrated a significant increase in HBGM frequency over time.
    • Significant downward trends in %IBW were observed in diet-treated and oral agent-treated NIDDM groups, while %IBW significantly increased in the IDDM group.
    • Glycosylated hemoglobin (A1c) values improved significantly in all four patient groups up to 8 years post-initial visit.
    • Despite improved glycemic control, the IDDM group did not show a significant increase in hypoglycemic events.

    Conclusions:

    • Diabetes self-management education and support, as provided by the DTTC, leads to sustained improvements in glycemic control and self-monitoring.
    • Weight management outcomes vary by treatment modality, with potential for weight loss in NIDDM and weight gain in IDDM.
    • Intensified self-monitoring and improved A1c are achievable in IDDM without a significant rise in hypoglycemia, suggesting effective patient education and management strategies.