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