Please use this identifier to cite or link to this item:
http://hdl.handle.net/10553/69933
Title: | Assessment of alimentación normal con ajuste de insulina (ANAIS), a Spanish version of the DAFNE programme, in people with Type 1 diabetes: a randomized controlled parallel trial | Authors: | Sánchez-Hernández, R. M. Alvarado-Martel, D. López-Plasencia, Y. Carrillo-Domínguez, A. Jiménez-Rodríguez, A. Rodríguez-Cordero, J. Vera-Elzo, T. Santana del Pino, A. Nóvoa-Mogollón, F. J. Wägner, A. M. |
UNESCO Clasification: | 240401 Bioestadística 120903 Análisis de datos 32 Ciencias médicas |
Keywords: | Normal Eating Dafne Dose Adjustment Intensive Treatment Management Education, et al |
Issue Date: | 2019 | Journal: | Diabetic Medicine | Abstract: | Aim: To evaluate the effects of Alimentación Normal con Ajuste de Insulina (ANAIS), a group-based, therapeutic education programme for Type 1 diabetes based on a flexible insulin regimen adjusted to the individual's food intake. Methods: Participants with Type 1 diabetes and HbA1c levels of 53–86 mmol/mol (7–10%) were recruited from outpatient clinics at a tertiary care centre. They were randomized (using opaque, sealed envelopes, with a 2:1 treatment allocation ratio) to attend the training course immediately (immediate ANAIS; intervention group) or a year later (delayed ANAIS; control group). The main outcome was HbA1c level at 1 year. Secondary outcomes included lipid levels, weight, hypoglycaemic events, insulin dose, treatment satisfaction, self-perceived dietary freedom, quality of life and participant-defined goals. Results: A total of 48 participants were assigned to the intervention group and 32 to the control group. Twelve months after completing the training, adjusted HbA1c was not significantly different in the intervention group [64 ± 1.3 vs 68 ± 1.6 mmol/mol (8.0 ±0.1% vs 8.4 ±0.1%); P=0.081]. Treatment satisfaction was significantly higher in the intervention group, but no differences were found in hypoglycaemic events, weight, insulin dose or changes in dietary freedom. At 1 year after the intervention, 72% of the participants (vs 33% in the control group; P=0.046) reported exceeding their expectations regarding achievement of their main personal goal. Conclusion: Promoting dietary freedom and empowering people with Type 1 diabetes through structured education programmes, such as ANAIS, improves treatment satisfaction and self-defined goals. No significant improvement in HbA1c level was achieved. | URI: | http://hdl.handle.net/10553/69933 | ISSN: | 0742-3071 | DOI: | 10.1111/dme.13984 | Source: | Diabetic Medicine [ISSN 0742-3071], v. 36 (8), p. 1037-1045 |
Appears in Collections: | Artículos |
SCOPUSTM
Citations
7
checked on Dec 8, 2024
WEB OF SCIENCETM
Citations
8
checked on Dec 8, 2024
Page view(s)
116
checked on May 4, 2024
Google ScholarTM
Check
Altmetric
Share
Export metadata
Items in accedaCRIS are protected by copyright, with all rights reserved, unless otherwise indicated.