Diabetes Mellitus, Type 1
Conditions
Keywords
carbohydrate counting, flexible insulin dosing, structured education, glycemic control, glucose monitoring
Brief summary
The study aims to elucidate whether patients with T1D initiating sensor monitoring experience greater improvement in glycemic control (HbA1c) when provided with structured nutrition education compared to those initiating sensor monitoring without such education.
Detailed description
Education on carbohydrate counting and flexible insulin dosing improves glycemic control, which is also enhanced by glucose sensor usage. However, the combined effect of structured education and the initiation of sensor monitoring remains unclear.
Interventions
BEHAVIORALstructured nutrition intervention
Structured nutrition education on carbohydrate counting and flexible insulin dosing by qualified nutritionist.
Sponsors
General University Hospital, Prague
Charles University, Czech Republic
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age ≥ 18 years * type 1 diabetes duration for at least 12 months prior to sensor initiation * glucose sensor monitoring initiated at the Diabetes Centre of the General University Hospital in Prague
Exclusion criteria
* uncertain diabetes type * pregnancy * change or suspension of glucose sensor monitoring during the study period * unavailability of sensor data * automated insulin delivery treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| difference in HbA1c | at month 12 | the difference in HbA1c between the groups with and without education |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| differences in time in range | at month 12 | differences in time in range (percentages) (70-180 mg/dL \[3.9-10.0 mmol/L\]) between groups with and without education |
| differences in time below range | at month 12 | differences in time below range (percentages) in level 1 hypoglycemia (54-69 mg/dL \[3.0-3.8 mmol/L\]), level 2 hypoglycemia (\<54 mg/dL \[\<3.0 mmol/L\]) between groups with and without education |
| differences in time above range | at month 12 | differences in time above range (percentages) (\>181 mg/dL \[\>10.1 mmol/L\]) between groups with and without education |
| differences in coefficient of variation | at month 12 | differences in coefficient of variation between groups with and without education |
Countries
Czechia
Outcome results
None listed