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Quality of Life, Coping Ability, and Metabolic Control in Patients With Type 1 Diabetes Managed By Group Care and a Carbohydrate Counting Program

2009; American Diabetes Association; Volume: 32; Issue: 11 Linguagem: Inglês

10.2337/dc09-0903

1935-5548

Marina Trento, E Borgo, C. Kucich, P. Passera, A Trinetta, Lorena Charrier, Franco Cavallo, Massimo Porta,

Chronic Disease Management Strategies

Group care is a clinical-pedagogic model in which traditional routine visits are substituted by sessions of group education. This approach improves quality of life and metabolic control in patients with type 2 diabetes (1) but only quality of life in those with type 1 diabetes (2). The latter must match multiple daily insulin administrations with blood glucose monitoring, dietary intake, and energy expenditure (3). We hypothesized that to improve their coping strategies, patients with type 1 diabetes need more specific training in the technical aspects of day-to-day management of insulin therapy. To verify this, we studied the effects of embedding a carbohydrate counting program within group care on quality of life, knowledge …