Diabetes Camp as Continuing Education for Diabetes Self-Management in Middle-Aged and Elderly People with Type 2 Diabetes Mellitus
Despite the established benefits of diabetes camps for the continuing education of children with type 1 diabetes mellitus, little is known about the long-term metabolic benefits of diabetes camps for middle-aged and elderly people with type 2 diabetes mellitus (T2DM), especially in terms of glycosyl...
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| Published in | Diabetes & metabolism journal Vol. 41; no. 2; pp. 99 - 112 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Korea (South)
Korean Diabetes Association / Daehan Dangnyobyeong Hakoe
01.04.2017
Korean Diabetes Association 대한당뇨병학회 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2233-6079 2233-6087 |
| DOI | 10.4093/dmj.2017.41.2.99 |
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| Abstract | Despite the established benefits of diabetes camps for the continuing education of children with type 1 diabetes mellitus, little is known about the long-term metabolic benefits of diabetes camps for middle-aged and elderly people with type 2 diabetes mellitus (T2DM), especially in terms of glycosylated hemoglobin (HbA1c) variability.
The 1-year mean and variability of HbA1c before and after the diabetes camp was compared between the participants of the diabetes camp (n=57; median age 65 years [range, 50 to 86 years]; median diabetes duration 14 years [range, 1 to 48 years]). Additional case-control analysis compared the metabolic outcomes of the participants of the diabetes camp and their propensity score-matched controls who underwent conventional diabetes education (n=93).
The levels of HbA1c during the first year after the diabetes camp were comparable to those of the matched controls (P=0.341). In an analysis of all participants of the diabetes camp, the 1-year mean±standard deviation (SD) of HbA1c decreased (P=0.010 and P=0.041) after the diabetes camp, whereas the adjusted SD and coefficient of variance (CV) of HbA1c did not decrease. The adjusted SD and CV significantly decreased after the diabetes camp in participants whose 1-year mean HbA1c was ≥6.5% before the diabetes camp (n=40) and those with a duration of diabetes less than 15 years (n=32).
The 1-year mean and SD of HbA1c decreased after the diabetes camp, with significant reduction in the adjusted SD and CV in those with higher baseline HbA1c and a shorter duration of diabetes. |
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| AbstractList | Background: Despite the established benefits of diabetes camps for the continuing education of children with type 1 diabetes mellitus, little is known about the long-term metabolic benefits of diabetes camps for middle-aged and elderly people with type 2 diabetes mellitus (T2DM), especially in terms of glycosylated hemoglobin (HbA1c) variability.
Methods: The 1-year mean and variability of HbA1c before and after the diabetes camp was compared between the participants of the diabetes camp (n=57; median age 65 years [range, 50 to 86 years]; median diabetes duration 14 years [range, 1 to 48 years]).
Additional case-control analysis compared the metabolic outcomes of the participants of the diabetes camp and their propensity score-matched controls who underwent conventional diabetes education (n=93).
Results: The levels of HbA1c during the first year after the diabetes camp were comparable to those of the matched controls (P=0.341). In an analysis of all participants of the diabetes camp, the 1-year mean±standard deviation (SD) of HbA1c decreased (P=0.010 and P=0.041) after the diabetes camp, whereas the adjusted SD and coefficient of variance (CV) of HbA1c did not decrease.
The adjusted SD and CV significantly decreased after the diabetes camp in participants whose 1-year mean HbA1c was ≥6.5% before the diabetes camp (n=40) and those with a duration of diabetes less than 15 years (n=32).
Conclusion: The 1-year mean and SD of HbA1c decreased after the diabetes camp, with significant reduction in the adjusted SD and CV in those with higher baseline HbA1c and a shorter duration of diabetes. KCI Citation Count: 3 Despite the established benefits of diabetes camps for the continuing education of children with type 1 diabetes mellitus, little is known about the long-term metabolic benefits of diabetes camps for middle-aged and elderly people with type 2 diabetes mellitus (T2DM), especially in terms of glycosylated hemoglobin (HbA1c) variability. The 1-year mean and variability of HbA1c before and after the diabetes camp was compared between the participants of the diabetes camp (n=57; median age 65 years [range, 50 to 86 years]; median diabetes duration 14 years [range, 1 to 48 years]). Additional case-control analysis compared the metabolic outcomes of the participants of the diabetes camp and their propensity score-matched controls who underwent conventional diabetes education (n=93). The levels of HbA1c during the first year after the diabetes camp were comparable to those of the matched controls (P=0.341). In an analysis of all participants of the diabetes camp, the 1-year mean±standard deviation (SD) of HbA1c decreased (P=0.010 and P=0.041) after the diabetes camp, whereas the adjusted SD and coefficient of variance (CV) of HbA1c did not decrease. The adjusted SD and CV significantly decreased after the diabetes camp in participants whose 1-year mean HbA1c was ≥6.5% before the diabetes camp (n=40) and those with a duration of diabetes less than 15 years (n=32). The 1-year mean and SD of HbA1c decreased after the diabetes camp, with significant reduction in the adjusted SD and CV in those with higher baseline HbA1c and a shorter duration of diabetes. Background Despite the established benefits of diabetes camps for the continuing education of children with type 1 diabetes mellitus, little is known about the long-term metabolic benefits of diabetes camps for middle-aged and elderly people with type 2 diabetes mellitus (T2DM), especially in terms of glycosylated hemoglobin (HbA1c) variability.* Methods The 1-year mean and variability of HbA1c before and after the diabetes camp was compared between the participants of the diabetes camp (n=57; median age 65 years [range, 50 to 86 years]; median diabetes duration 14 years [range, 1 to 48 years]). Additional case-control analysis compared the metabolic outcomes of the participants of the diabetes camp and their propensity score-matched controls who underwent conventional diabetes education (n=93).* Results The levels of HbA1c during the first year after the diabetes camp were comparable to those of the matched controls (P=0.341). In an analysis of all participants of the diabetes camp, the 1-year mean±standard deviation (SD) of HbA1c decreased (P=0.010 and P=0.041) after the diabetes camp, whereas the adjusted SD and coefficient of variance (CV) of HbA1c did not decrease. The adjusted SD and CV significantly decreased after the diabetes camp in participants whose 1-year mean HbA1c was ≥6.5% before the diabetes camp (n=40) and those with a duration of diabetes less than 15 years (n=32).* Conclusion The 1-year mean and SD of HbA1c decreased after the diabetes camp, with significant reduction in the adjusted SD and CV in those with higher baseline HbA1c and a shorter duration of diabetes. Despite the established benefits of diabetes camps for the continuing education of children with type 1 diabetes mellitus, little is known about the long-term metabolic benefits of diabetes camps for middle-aged and elderly people with type 2 diabetes mellitus (T2DM), especially in terms of glycosylated hemoglobin (HbA1c) variability.BACKGROUNDDespite the established benefits of diabetes camps for the continuing education of children with type 1 diabetes mellitus, little is known about the long-term metabolic benefits of diabetes camps for middle-aged and elderly people with type 2 diabetes mellitus (T2DM), especially in terms of glycosylated hemoglobin (HbA1c) variability.The 1-year mean and variability of HbA1c before and after the diabetes camp was compared between the participants of the diabetes camp (n=57; median age 65 years [range, 50 to 86 years]; median diabetes duration 14 years [range, 1 to 48 years]). Additional case-control analysis compared the metabolic outcomes of the participants of the diabetes camp and their propensity score-matched controls who underwent conventional diabetes education (n=93).METHODSThe 1-year mean and variability of HbA1c before and after the diabetes camp was compared between the participants of the diabetes camp (n=57; median age 65 years [range, 50 to 86 years]; median diabetes duration 14 years [range, 1 to 48 years]). Additional case-control analysis compared the metabolic outcomes of the participants of the diabetes camp and their propensity score-matched controls who underwent conventional diabetes education (n=93).The levels of HbA1c during the first year after the diabetes camp were comparable to those of the matched controls (P=0.341). In an analysis of all participants of the diabetes camp, the 1-year mean±standard deviation (SD) of HbA1c decreased (P=0.010 and P=0.041) after the diabetes camp, whereas the adjusted SD and coefficient of variance (CV) of HbA1c did not decrease. The adjusted SD and CV significantly decreased after the diabetes camp in participants whose 1-year mean HbA1c was ≥6.5% before the diabetes camp (n=40) and those with a duration of diabetes less than 15 years (n=32).RESULTSThe levels of HbA1c during the first year after the diabetes camp were comparable to those of the matched controls (P=0.341). In an analysis of all participants of the diabetes camp, the 1-year mean±standard deviation (SD) of HbA1c decreased (P=0.010 and P=0.041) after the diabetes camp, whereas the adjusted SD and coefficient of variance (CV) of HbA1c did not decrease. The adjusted SD and CV significantly decreased after the diabetes camp in participants whose 1-year mean HbA1c was ≥6.5% before the diabetes camp (n=40) and those with a duration of diabetes less than 15 years (n=32).The 1-year mean and SD of HbA1c decreased after the diabetes camp, with significant reduction in the adjusted SD and CV in those with higher baseline HbA1c and a shorter duration of diabetes.CONCLUSIONThe 1-year mean and SD of HbA1c decreased after the diabetes camp, with significant reduction in the adjusted SD and CV in those with higher baseline HbA1c and a shorter duration of diabetes. BackgroundDespite the established benefits of diabetes camps for the continuing education of children with type 1 diabetes mellitus, little is known about the long-term metabolic benefits of diabetes camps for middle-aged and elderly people with type 2 diabetes mellitus (T2DM), especially in terms of glycosylated hemoglobin (HbA1c) variability.MethodsThe 1-year mean and variability of HbA1c before and after the diabetes camp was compared between the participants of the diabetes camp (n=57; median age 65 years [range, 50 to 86 years]; median diabetes duration 14 years [range, 1 to 48 years]). Additional case-control analysis compared the metabolic outcomes of the participants of the diabetes camp and their propensity score-matched controls who underwent conventional diabetes education (n=93).ResultsThe levels of HbA1c during the first year after the diabetes camp were comparable to those of the matched controls (P=0.341). In an analysis of all participants of the diabetes camp, the 1-year mean±standard deviation (SD) of HbA1c decreased (P=0.010 and P=0.041) after the diabetes camp, whereas the adjusted SD and coefficient of variance (CV) of HbA1c did not decrease. The adjusted SD and CV significantly decreased after the diabetes camp in participants whose 1-year mean HbA1c was ≥6.5% before the diabetes camp (n=40) and those with a duration of diabetes less than 15 years (n=32).ConclusionThe 1-year mean and SD of HbA1c decreased after the diabetes camp, with significant reduction in the adjusted SD and CV in those with higher baseline HbA1c and a shorter duration of diabetes. |
| Author | Hur, Kyu Yeon Lee, Moon-Kyu Jin, Sang-Man Kim, Sun Young Sim, Kang-Hee Lee, Hye Mi Park, So Young Kim, Jae Hyeon |
| AuthorAffiliation | 1 Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea 2 Diabetes Education Unit, Diabetes Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |
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| CitedBy_id | crossref_primary_10_1186_s12889_024_20080_0 crossref_primary_10_1016_j_jaging_2018_03_004 crossref_primary_10_1177_14733250211042063 |
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| Copyright | Copyright © 2017 Korean Diabetes Association 2017. This work is licensed under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright © 2017 Korean Diabetes Association 2017 |
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| Keywords | Adult Metabolic outcome Hemoglobin A, glycosylated, variability Diabetes camp Psychosocial outcome |
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| References_xml | – volume: 38 start-page: 551 year: 2015 ident: 10.4093/dmj.2017.41.2.99_ref5 publication-title: Diabetes Care doi: 10.2337/dc14-1416 – volume: 30 start-page: e63 year: 2013 ident: 10.4093/dmj.2017.41.2.99_ref12 publication-title: Diabet Med doi: 10.1111/dme.12040 – volume: 38 start-page: 128 year: 2012 ident: 10.4093/dmj.2017.41.2.99_ref1 publication-title: Diabetes Metab doi: 10.1016/j.diabet.2011.09.002 – volume: 35 start-page: S72 issue: Suppl 1 year: 2012 ident: 10.4093/dmj.2017.41.2.99_ref9 publication-title: Diabetes Care doi: 10.2337/dc12-s072 – volume: 83 start-page: 210 year: 2012 ident: 10.4093/dmj.2017.41.2.99_ref14 publication-title: Korean J Med doi: 10.3904/kjm.2012.83.2.210 – volume: 37 start-page: 625 year: 2014 ident: 10.4093/dmj.2017.41.2.99_ref17 publication-title: Diabetes Care doi: 10.2337/dc13-0816 – volume: 18 start-page: 320 year: 2013 ident: 10.4093/dmj.2017.41.2.99_ref18 publication-title: J Spec Pediatr Nurs doi: 10.1111/jspn.12040 – volume: 16 start-page: 5 year: 2016 ident: 10.4093/dmj.2017.41.2.99_ref8 publication-title: BMC Endocr Disord doi: 10.1186/s12902-016-0086-x – volume: 15 start-page: 198 year: 2015 ident: 10.4093/dmj.2017.41.2.99_ref11 publication-title: BMC Psychiatry doi: 10.1186/s12888-015-0580-0 – volume: 31 start-page: 1118 year: 2008 ident: 10.4093/dmj.2017.41.2.99_ref10 publication-title: Diabetes Care doi: 10.2337/dc07-2019 – volume: 12 start-page: CD008381 year: 2012 ident: 10.4093/dmj.2017.41.2.99_ref19 publication-title: Cochrane Database Syst Rev – volume: 30 start-page: e123 year: 2013 ident: 10.4093/dmj.2017.41.2.99_ref7 publication-title: Diabet Med doi: 10.1111/dme.12070 – volume: 33 start-page: 295 year: 2016 ident: 10.4093/dmj.2017.41.2.99_ref16 publication-title: Public Health Nurs doi: 10.1111/phn.12218 – volume: 39 start-page: S81 issue: Suppl 1 year: 2016 ident: 10.4093/dmj.2017.41.2.99_ref15 publication-title: Diabetes Care doi: 10.2337/dc16-S013 – volume: 36 start-page: 452 year: 2012 ident: 10.4093/dmj.2017.41.2.99_ref3 publication-title: Diabetes Metab J doi: 10.4093/dmj.2012.36.6.452 – volume: 47 start-page: 240 year: 2006 ident: 10.4093/dmj.2017.41.2.99_ref22 publication-title: Psychosomatics doi: 10.1176/appi.psy.47.3.240 – volume: 36 start-page: 2301 year: 2013 ident: 10.4093/dmj.2017.41.2.99_ref21 publication-title: Diabetes Care doi: 10.2337/dc12-2264 – volume: 12 start-page: 98 year: 2013 ident: 10.4093/dmj.2017.41.2.99_ref20 publication-title: Cardiovasc Diabetol doi: 10.1186/1475-2840-12-98 – volume: 35 start-page: 580 year: 2011 ident: 10.4093/dmj.2017.41.2.99_ref4 publication-title: Diabetes Metab J doi: 10.4093/dmj.2011.35.6.580 – volume: 38 start-page: 1372 year: 2015 ident: 10.4093/dmj.2017.41.2.99_ref6 publication-title: Diabetes Care doi: 10.2337/dc15-0730 – volume: 25 start-page: 1159 year: 2002 ident: 10.4093/dmj.2017.41.2.99_ref2 publication-title: Diabetes Care doi: 10.2337/diacare.25.7.1159 – volume: 122 start-page: 133 year: 2010 ident: 10.4093/dmj.2017.41.2.99_ref13 publication-title: J Affect Disord doi: 10.1016/j.jad.2009.06.005 – reference: 24094127 - J Spec Pediatr Nurs. 2013 Oct;18(4):320-8 – reference: 22187473 - Diabetes Care. 2012 Jan;35 Suppl 1:S72-5 – reference: 23072401 - Diabet Med. 2013 Feb;30(2):e63-9 – reference: 22247900 - Diabetes Metab J. 2011 Dec;35(6):580-6 – reference: 22019715 - Diabetes Metab. 2012 Apr;38(2):128-34 – reference: 26281832 - BMC Psychiatry. 2015 Aug 18;15:198 – reference: 23157253 - Diabet Med. 2013 Mar;30(3):e123-6 – reference: 26791079 - BMC Endocr Disord. 2016 Jan 20;16:5 – reference: 24170758 - Diabetes Care. 2014;37(3):625-33 – reference: 23829205 - Cardiovasc Diabetol. 2013 Jul 05;12:98 – reference: 25605812 - Diabetes Care. 2015 Apr;38(4):551-60 – reference: 26696686 - Diabetes Care. 2016 Jan;39 Suppl 1:S81-5 – reference: 23235661 - Cochrane Database Syst Rev. 2012 Dec 12;12:CD008381 – reference: 12087014 - Diabetes Care. 2002 Jul;25(7):1159-71 – reference: 23275939 - Diabetes Metab J. 2012 Dec;36(6):452-9 – reference: 18337303 - Diabetes Care. 2008 Jun;31(6):1118-9 – reference: 26223690 - Public Health Nurs. 2016 Jul;33(4):295-302 – reference: 16684941 - Psychosomatics. 2006 May-Jun;47(3):240-6 – reference: 19592116 - J Affect Disord. 2010 Apr;122(1-2):133-8 – reference: 23491522 - Diabetes Care. 2013 Aug;36(8):2301-10 – reference: 26048904 - Diabetes Care. 2015 Jul;38(7):1372-82 |
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| Snippet | Despite the established benefits of diabetes camps for the continuing education of children with type 1 diabetes mellitus, little is known about the long-term... Background Despite the established benefits of diabetes camps for the continuing education of children with type 1 diabetes mellitus, little is known about the... BackgroundDespite the established benefits of diabetes camps for the continuing education of children with type 1 diabetes mellitus, little is known about the... Background: Despite the established benefits of diabetes camps for the continuing education of children with type 1 diabetes mellitus, little is known about... |
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| SubjectTerms | Adult Camps Cholesterol Continuing education Diabetes Diabetes camp Glucose Hemoglobin A, glycosylated, variability Insulin Mental depression Metabolic outcome Metabolism Middle age Older people Original Outpatient care facilities Psychosocial outcome Questionnaires Statistical analysis Well being 내과학 |
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| Title | Diabetes Camp as Continuing Education for Diabetes Self-Management in Middle-Aged and Elderly People with Type 2 Diabetes Mellitus |
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