title: Effects of diabetes self-management education on glycaemic control in children with insulin-dependent diabetes mellitus.
abstract: OBJECTIVE
  To evaluate the effect of diabetes self-management education (DSME) on glycaemic control (HbA1c) in Pakistani children suffering from type-1 diabetes mellitus.
  
  
  METHODS
  Quasi-experimental study.
  
  
  METHODS
  This study was conducted at the Diabetic OPD of National Institute of Child Health, Karachi, from April to September 2009.
  
  
  METHODS
  Sixty children with a mean age of 9.94 years with type-1 Diabetes mellitus (T1DM) were selected conveniently from the diabetic OPD. The patients along with their parents/caregivers attended a modular series of diabetes self-management education program consisting of 2 sessions. Customized program was designed to educate children regarding general information about the disease, basic insulin therapy, planning for hypoglycaemia, hyperglycaemia, activity, traveling and basic nutritional management. It was conducted by a multidisciplinary paediatric diabetes team including an endocrinologist, general paediatrician, nutritionist and diabetic nurse. The educational sessions were followed by monthly revision exercises. HbA1c levels were measured at baseline and after 3 months and compared using paired sample t-test.
  
  
  RESULTS
  Out of a total of 60 patients, 50 completed the trial. There was a significant decrease in the HbA1c levels after the DSME program. The mean pre- and postintervention HbA1c levels were 9.67±0.65 and 8.49±0.53 respectively with a p-value < 0.001.
  
  
  CONCLUSIONS
  In the studied group, DSME programs helped to improve glycaemic control. It should be an integral part of patient treatment in diabetic care setups.
authors.affiliation: Department of Paediatrics, National Institute of Child Health, Karachi. qayyumayesha@yahoo.com
authors.forename: Ayesha Abdul
authors.initials: AA
authors.lastname: Qayyum
authors.forename: Saira Waqar
authors.initials: SW
authors.lastname: Lone
authors.forename: Mohsina Noor
authors.initials: MN
authors.lastname: Ibrahim
authors.forename: Irum
authors.initials: I
authors.lastname: Atta
authors.forename: Jamal
authors.initials: J
authors.lastname: Raza
mesh_terms: D001786:Blood Glucose / Q000032:analysis*; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin; D006801:Humans; D008297:Male; D010154:Pakistan; D010353:Patient Education as Topic; D012648:Self Care
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin