Growth of Structured Education for People with Type 1 Diabetes in the UK. Joan Everett (on behalf of Diabetes Education Network)

Type 1 education: does it work in the UK?

Diabetes Education Network Audit data  Collected from 7 centres Bristol Bristol Bournemouth Bournemouth Eastbourne Eastbourne Gwent Gwent Luton Luton Peterborough Peterborough Torquay Torquay

HbAIc Baseline mean (sd) % 1 year mean (sd) % p value All 8.71 (1.4) n= (1.29) n=284<0.001 >7.5% at baseline 9.13 (1.19) n= (1.18) n=211<0.001

Weight N=209 Baseline mean (SD) 1 year mean (SD) p value Weight 75.3 Kg (15.5) 74.8 Kg (14.2)n/s

Problem Area In Diabetes N=177 Baseline mean (SD) 1 year mean (SD) p value Problem Area in Diabetes (PAID) 29.5 (19.8) 18.3 (15.5) <0.001

DKA Baseline 1 year DKA episodes per year (no of patients) 36 (393) 6 (135) Episode per patient per year

Hypoglycaemia Baseline 1 year Total hypos / year (no of patients) 410 (404) 34 (121) Hypos -paramedic 1070 Total hypos per patient per year

Summary  Education for type 1 diabetes patients has improved due to political and clinical influence  DEN has been successful in supporting and training teams to deliver structured education for type 1 patients  Audit data shows reduced HbAIc, DKA and hypoglycaemia episodes and an improved quality of life  Good progress has been made since 2000 education programmes available in 2/3 of health districts education programmes available in 2/3 of health districts Emerging framework for quality control Emerging framework for quality control

Next steps  To integrate ongoing education into long term follow up (“educational model of care”)  To ensure availability of education in all areas  To develop generic accreditation for centres and educators