1. Beginnings Paediatric Diabetes Group Education Gillian Smith October 2008

2. Context – Why group education? Withdrawal of insulin mixes Many referrals for carbohydrate counting Initially advice on individual basis, but: –Time intensive –Limited accommodation, especially at clinic Guidelines support structured ongoing education and promotion of self management

3. Two hour programme Types and action of insulin What are carbohydrates? Ways to count: 10g portion list, food labels, weighing Examples, DAFNE plates Snacks, large meals, long meals, exercise Individual ratios and corrections Evaluation

4. Outcomes Attendance – 42 families (half those invited) –Range 4 – 16 years (5 parents)Average 13 years Morning, afternoon or evening –Similar numbers attendAverage 4 families Groups –Building relationships with families –Families meeting and sharing experiences –Practical tasks

5. Improved Hba1c in 71%

6. More confident in managing diabetes

7. Lessons to learn Pros –Happier patients –More knowledgeable families –Shared experiences –Standardised education –Groups based –Team working Cons –Admin time –Accommodation –Resources –Patient numbers –Conflict –New concept –One session

8. Thank you