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


METHODS
a prospective randomised controlled multi-centre trial.


METHODS
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).


METHODS
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).


CONCLUSIONS
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.
Braun
Anke K
AK
Bethanien Hospital Heidelberg, Geriatrics Department at the University of Heidelberg, Heidelberg, Germany.
Kubiak
Thomas
T
Kuntsche
Jörn
J
Meier-Höfig
Martina
M
Müller
Ulrich A
UA
Feucht
Irene
I
Zeyfang
Andrej
A
D000368:Aged; D000369:Aged, 80 and over; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy*; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000378:metabolism; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007328:Insulin / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D010353:Patient Education as Topic / Q000379:methods*; D011446:Prospective Studies; D012044:Regression Analysis; D012648:Self Care / Q000379:methods; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin