Diabetes requires extensive self-care and comprehensive knowledge. The management of the disease, including insulin injections and self-control of blood glucose, affects everyday life, thus coping skills are essential. Health-related quality of life (HRQOL) may be influenced, particularly diabetes-related influence on HRQOL [1-3]. The association between good metabolic control and risk reduction for late complications is known [4-6] but despite modern treatment, only one third of the patients reach treatment target [7,8]. Efforts to increase patients’ and parents’ knowledge are needed to empower them in their self-care [9].
Thus patient education is central to diabetes self-management [10]. Studies in adult type 1 diabetes populations have indicated that structured patient training and education as part of intensive treatment reduces HbA1c with no increase in severe hypoglycemia, or even with persistent reduction of severe hypoglycemia [11-14]. Although such findings are consistent with modern clinical practice and experience [15], evidence repeatedly has been found insufficient to recommend adaptation of any particular educational method or program for type 1 diabetes [16,17]. There are several approaches, but there is no single one that emerges as clearly dominant.
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Originally Published in The Journal of Medical Internet Research
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