Type 1 diabetes in adults: supporting self management
File(s)
Published version
Author(s)
Reddy, M
Rilstone, S
Cooper, P
Oliver, NS
Type
Journal Article
Abstract
Clinical Review
Type 1 diabetes in adults: supporting self management
BMJ 2016; 352 doi: http://dx.doi.org/10.1136/bmj.i998 (Published 10 March 2016)
Cite this as: BMJ 2016;352:i998
Article
Related content
Metrics
Responses
Monika Reddy, specialist registrar, diabetes and endocrinology1 2, Sian Rilstone, diabetes specialist dietitian2, Philippa Cooper, has type 1 diabetes3, Nick S Oliver, consultant diabetologist1 2
Author affiliations
1Department of Diabetes, Endocrinology and Metabolism, Imperial College London, St Mary’s Hospital Campus, London W2 1PG, UK
2Diabetes and Endocrinology, Imperial Healthcare NHS Trust, London
3London
Correspondence to: N S Oliver nick.oliver@imperial.ac.uk
What you need to know
Glucose concentrations in type 1 diabetes are affected by multiple interacting and independent complex factors
Structured education programmes support effective self management and should be available to everyone with an established diagnosis of type 1 diabetes
Long term self-management of type 1 diabetes is challenging and requires ongoing support from an expert multidisciplinary team
Insulin dose adjustment involves carbohydrate estimation and mental arithmetic, which can be supported with technology
Healthcare professionals should be alert to signs of depression or distress in people with type 1 diabetes, and access to psychosocial support is critical
Type 1 diabetes affects 300 000 people in the United Kingdom.1 2 Despite regular specialist multidisciplinary input, responsibility for glucose monitoring and insulin administration is devolved to the person with diabetes, or their care giver. Empowering effective self management of type 1 diabetes is critical to achieve HbA1c targets, minimise hypoglycaemia and optimise quality of life. Structured education programmes for diabetes self management should be offered to everyone with type 1 diabetes. It is important for healthcare providers to understand what structured education involves before referral. This review examines the meaning and evidence for self management, and provides advice on how general physicians and non-specialists can support and enable people with type 1 diabetes to self manage their condition.
Type 1 diabetes in adults: supporting self management
BMJ 2016; 352 doi: http://dx.doi.org/10.1136/bmj.i998 (Published 10 March 2016)
Cite this as: BMJ 2016;352:i998
Article
Related content
Metrics
Responses
Monika Reddy, specialist registrar, diabetes and endocrinology1 2, Sian Rilstone, diabetes specialist dietitian2, Philippa Cooper, has type 1 diabetes3, Nick S Oliver, consultant diabetologist1 2
Author affiliations
1Department of Diabetes, Endocrinology and Metabolism, Imperial College London, St Mary’s Hospital Campus, London W2 1PG, UK
2Diabetes and Endocrinology, Imperial Healthcare NHS Trust, London
3London
Correspondence to: N S Oliver nick.oliver@imperial.ac.uk
What you need to know
Glucose concentrations in type 1 diabetes are affected by multiple interacting and independent complex factors
Structured education programmes support effective self management and should be available to everyone with an established diagnosis of type 1 diabetes
Long term self-management of type 1 diabetes is challenging and requires ongoing support from an expert multidisciplinary team
Insulin dose adjustment involves carbohydrate estimation and mental arithmetic, which can be supported with technology
Healthcare professionals should be alert to signs of depression or distress in people with type 1 diabetes, and access to psychosocial support is critical
Type 1 diabetes affects 300 000 people in the United Kingdom.1 2 Despite regular specialist multidisciplinary input, responsibility for glucose monitoring and insulin administration is devolved to the person with diabetes, or their care giver. Empowering effective self management of type 1 diabetes is critical to achieve HbA1c targets, minimise hypoglycaemia and optimise quality of life. Structured education programmes for diabetes self management should be offered to everyone with type 1 diabetes. It is important for healthcare providers to understand what structured education involves before referral. This review examines the meaning and evidence for self management, and provides advice on how general physicians and non-specialists can support and enable people with type 1 diabetes to self manage their condition.
Date Issued
2016-03-10
Date Acceptance
2016-03-01
Citation
BMJ-British Medical Journal, 2016, 352
ISSN
1756-1833
Publisher
BMJ Publishin Group
Journal / Book Title
BMJ-British Medical Journal
Volume
352
Copyright Statement
© 2016 The Authors. Published by the BMJ Publishing Group Limited.
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000372049200002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
Quality-of-life
Randomized clinical-trails
Awareness training BGAT
Blood-glucose profiles
Education-program
Metabolic-control
Glycemic control
Subsequent hypoglycemia
Glycosylated hemoglobin
Telemedicine system
Adult
Anxiety
Depression
Diabetes Mellitus, Type 1
Health Behavior
Health Literacy
Humans
Interdisciplinary Communication
Patient Education as Topic
Practice Guidelines as Topic
Self Care
Social Support
Publication Status
Published
Article Number
ARTN i998