title: [Differential effects of diabetes education programs by levels of HbA1c and the presence of chronic complications in patients with type 1 diabetes].
abstract: BACKGROUND
  Diabetes Education Programs (DEP) that improve metabolic control are applied to a wide variety of patient types. The aim is to test whether DEPs work differently depending on the patient profile.
  
  
  METHODS
  Thirty-six type 1 diabetics participated. They were divided into four groups according to their haemoglobin levels (range: 7-13 %) and into two groups according to the presence or absence of complications. The ECODI scale for assessing diabetes knowledge and the Frequency of Self-Care scale were completed by all patients.
  
  
  RESULTS
  The results showed that HbA1c decreased after the DEP, with some areas of self-care also improving. There were no changes, however, to diet or exercise.
  
  
  CONCLUSIONS
  DEP appear to work better in patients with worse control and with complications, suggesting that they have a certain role to play in prevention. Their lack of impact on diet or exercise, would suggest that the DEPs require improvement to include psychological strategies that motivate lasting lifestyle changes.
authors.affiliation: Facultad de Psicología, Universidad de Granada, Granada, 18071, Spain. dlsantos@ugr.es.
authors.forename: M
authors.initials: M
authors.lastname: De los Santos Roig
authors.forename: M
authors.initials: M
authors.lastname: Fernández-Alcántara
authors.forename: T
authors.initials: T
authors.lastname: Guardia-Archilla
authors.forename: S
authors.initials: S
authors.lastname: Rodríguez-Morales
authors.forename: A
authors.initials: A
authors.lastname: Molina
authors.forename: D
authors.initials: D
authors.lastname: Casares
authors.forename: I
authors.initials: I
authors.lastname: Ruiz-González
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000097:blood* / Q000150:complications* / Q000628:therapy; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D006801:Humans; D008297:Male; D010353:Patient Education as Topic
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human