Impact of therapeutic education on the interet of HbA1c in type 2 diabetes

Author(s):  
Ould Khaoua MUSTAPHA
2013 ◽  
Vol 16 (7) ◽  
pp. A452 ◽  
Author(s):  
I. Odnoletkova ◽  
G. Goderis ◽  
L. Pil ◽  
F. Nobels ◽  
B. Aertgeerts ◽  
...  

Author(s):  
Rachid Malek

This review focused on data on the prevalence of diabetes mellitus especially type 2 diabetes mellitus (T2DM) in Africa, where the current number of diabetes individuals has reached 19 million. There appears to be heterogeneity in the data between countries with a trend towards the development of diabetes at an earlier age, high socio-economic impact but also limited financial resources given that the majority of African countries are developing countries with low to middle income. Africa is not spared the universal risk factors for T2DM, but the influence of the environment (urbanization), inadequate diets and sedentary lifestyle, often leading to overweight and obesity, remains a major concern. This is reflected in projections and estimates by the International Diabetes Federation (IDF), which predicts a 143% increase in the number of people with diabetes in Africa by 2045. Other factors have a negative impact on diabetes management, such as difficult access to medication and lack of education programs. Overall and individual awareness raising in collaboration with health authorities, governments and the media remains the most appropriate. Pending the implementation of national programs for the prevention of diabetes and its complications, it is necessary to strengthen therapeutic education and improve the quality of primary care in order to fight the scourge of diabetes. Keywords: Type 2 diabetes mellitus, epidemiology, prevalence, risk factors, Africa.


Author(s):  
Grégoire Lagger ◽  
Jorge Cesar Correia ◽  
Peter Fernandes ◽  
Frédéric Sittarame ◽  
Alain Golay

Introduction: Type 2 diabetes (T2D) reversal has been demonstrated in patients undergoing bariatric surgery or low caloric diets. Objective: To investigate the effects of therapeutic patient education alone on T2D reversal in early diagnosed patients. Methods: Seventeen T2D patients underwent a one-week therapeutic education program, followed by 12 months of 1 hour sessions every month, targeting diabetes reversal. This reversal was determined using the DiaRem score which integrates glycated hemoglobin levels and antidiabetic drug treatment. Patient’s conceptions, perceptions and motivation were assessed using a 5-dimensional psychopedagogic score. Results: After 1 year, the mean HbA1C fell from 7.2% (± 1.9) to 6.2% (± 0.8) (p < 0.05), antidiabetic drug doses decreased by 25% (p < 0.05), and the DiaRem score increased by 15% (p < 0.01), indicating a reversal of the disease, not correlated to weight loss. At the end of the study, 15 out of 17 patients had excellent glycemic control (HbA1C < 7.0%) and 4 patients had parameters compatible with partial diabetes remission. A significant improvement in glycemic control coupled with a lowering of antidiabetic drug treatment was observed. Conclusions: Following an initial therapeutic education program and regular consultation sessions thereafter, early diagnosed patients may reverse their type 2 diabetes.


2021 ◽  
Vol 10 (3) ◽  
pp. 16-21
Author(s):  
A.R. Volkova ◽  
◽  
A.V. Lisker ◽  
G.V. Semikova ◽  
V.S. Mozgunova ◽  
...  

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Riccio M ◽  
Memoli G

The exponential increase in cases of Type 2 Diabetes Mellitus (T2DM), particularly in developing countries, is combined with the progressive failure of healthcare facilities to provide adequate assistance.


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