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Age and Ageing Advance Access originally published online on May 18, 2009
Age and Ageing 2009 38(4):390-396; doi:10.1093/ageing/afp056
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© The Author 2009.
Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. The online version of this article has been published under an open access model. Users are entitled to use, reproduce, disseminate, or display the open access version of this article for non-commercial purposes provided that: the original authorship is properly and fully attributed; the Journal and the British Geriatrics Society are attributed as the original place of publication with the correct citation details given; if an article is subsequently reproduced or disseminated not in its entirety but only in part or as a derivative work this must be clearly indicated. For commercial re-use, please contact journals.permissions@oupjournals.org

SGS: a structured treatment and teaching programme for older patients with diabetes mellitus—a prospective randomised controlled multi-centre trial

Anke K. Braun1,2, Thomas Kubiak3, Jörn Kuntsche4, Martina Meier-Höfig5, Ulrich A. Müller6, Irene Feucht7 and Andrej Zeyfang7

1 Bethanien Hospital Heidelberg, Geriatrics Department at the University of Heidelberg, Heidelberg, Germany
2 Research Fellow of the Robert Bosch Foundation, Stuttgart, Germany
3 Institute for Psychology, University of Greifswald, Germany
4 Bürgerhospital Friedberg, Friedberg, Germany
5 Hospital Kiel, Kiel, Germany
6 Department of Internal Medicine III, University of Jena, Jena, Germany
7 Bethesda Hospital Stuttgart, Stuttgart, Germany

Address correspondence to: Andrej Zeyfang, Bethesda Hospital Stuttgart, Hohenheimer Strasse 21, 70184 Stuttgart, Germany. Tel: (+49) 711 2156 251. Email: andrej.zeyfang{at}bethesda-stuttgart.de

Objectives: evaluation of the effectiveness of a new structured diabetes teaching and treatment programme (DTTP) with specific didactical approaches and topics for geriatric patients with diabetes mellitus.

Design: a prospective randomised controlled multi-centre trial.

Setting and participants: a total of 155 geriatric patients were randomly admitted to either the new DTTP SGS (n = 83) or the standard DTTP (n = 72) for insulin-treated patients with type 2 diabetes mellitus (HbA1c 8.0 ± 1.4%, age 76.2 ± 6.3 years).

Measurements: biometrical data, metabolic control, acute complications, diabetes knowledge, self-management.

Results: SGS participants showed improved levels of HbA1c 6 months after the DTTP, and less acute complications than the standard group (P<0.009). Both groups demonstrated a good capacity for diabetes self-management and improvement in diabetes knowledge after the DTTP (P<0.01).

Conclusion: the new SGS diabetes education programme, focusing on the learning capabilities and the particular needs of older persons, is effective in improving metabolic control and in maintaining auto-sufficiency in geriatric patients with diabetes mellitus.

Keywords: diabetes mellitus type 2, patient education, treatment and teaching programme, insulin therapy, randomised controlled trial, elderly

Received 27 March 2008; accepted in revised form 28 November 2008.


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