Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/69933
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dc.contributor.authorSánchez-Hernández, R. M.en_US
dc.contributor.authorAlvarado-Martel, D.en_US
dc.contributor.authorLópez-Plasencia, Y.en_US
dc.contributor.authorCarrillo-Domínguez, A.en_US
dc.contributor.authorJiménez-Rodríguez, A.en_US
dc.contributor.authorRodríguez-Cordero, J.en_US
dc.contributor.authorVera-Elzo, T.en_US
dc.contributor.authorSantana del Pino, A.en_US
dc.contributor.authorNóvoa-Mogollón, F. J.en_US
dc.contributor.authorWägner, A. M.en_US
dc.date.accessioned2020-02-05T12:51:24Z-
dc.date.available2020-02-05T12:51:24Z-
dc.date.issued2019en_US
dc.identifier.issn0742-3071en_US
dc.identifier.otherScopus-
dc.identifier.urihttp://hdl.handle.net/10553/69933-
dc.description.abstractAim: 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.en_US
dc.languageengen_US
dc.relation.ispartofDiabetic Medicineen_US
dc.sourceDiabetic Medicine [ISSN 0742-3071], v. 36 (8), p. 1037-1045en_US
dc.subject240401 Bioestadísticaen_US
dc.subject120903 Análisis de datosen_US
dc.subject32 Ciencias médicasen_US
dc.subject.otherNormal Eating Dafne
dc.subject.otherDose Adjustment
dc.subject.otherIntensive Treatment
dc.subject.otherManagement
dc.subject.otherEducation
dc.subject.otherTherapy
dc.titleAssessment 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 trialen_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1111/dme.13984
dc.identifier.scopus85067385899-
dc.identifier.isi000475951400014
dc.contributor.authorscopusid57203232814-
dc.contributor.authorscopusid56719694700-
dc.contributor.authorscopusid6505745223-
dc.contributor.authorscopusid6603457530-
dc.contributor.authorscopusid57209332884-
dc.contributor.authorscopusid57209331101-
dc.contributor.authorscopusid57209330854-
dc.contributor.authorscopusid56554207500-
dc.contributor.authorscopusid57041246400-
dc.contributor.authorscopusid7401456520-
dc.identifier.eissn1464-5491-
dc.description.lastpage1045-
dc.identifier.issue8-
dc.description.firstpage1037-
dc.relation.volume36-
dc.investigacionCienciasen_US
dc.type2Artículoen_US
dc.contributor.daisngid3858758
dc.contributor.daisngid7063467
dc.contributor.daisngid6141456
dc.contributor.daisngid31061708
dc.contributor.daisngid29244958
dc.contributor.daisngid14397809
dc.contributor.daisngid31225360
dc.contributor.daisngid30608093
dc.contributor.daisngid4992898
dc.contributor.daisngid1417033
dc.utils.revisionen_US
dc.contributor.wosstandardWOS:Sanchez-Hernandez, RM
dc.contributor.wosstandardWOS:Alvarado-Martel, D
dc.contributor.wosstandardWOS:Lopez-Plasencia, Y
dc.contributor.wosstandardWOS:Carrillo-Dominguez, A
dc.contributor.wosstandardWOS:Jimenez-Rodriguez, A
dc.contributor.wosstandardWOS:Rodriguez-Cordero, J
dc.contributor.wosstandardWOS:Vera-Elzo, T
dc.contributor.wosstandardWOS:del Pino, AS
dc.contributor.wosstandardWOS:Novoa-Mogollon, FJ
dc.contributor.wosstandardWOS:Wagner, AM
dc.date.coverdateAgosto 2019
dc.identifier.ulpgces
dc.description.sjr1,502
dc.description.jcr3,083
dc.description.sjrqQ1
dc.description.jcrqQ3
dc.description.scieSCIE
item.grantfulltextnone-
item.fulltextSin texto completo-
crisitem.author.deptGIR IUIBS: Diabetes y endocrinología aplicada-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptGIR Estadística-
crisitem.author.deptDepartamento de Matemáticas-
crisitem.author.deptGIR IUIBS: Diabetes y endocrinología aplicada-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.orcid0000-0003-4952-4115-
crisitem.author.orcid0000-0002-6513-4814-
crisitem.author.orcid0000-0002-7663-9308-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.parentorgDepartamento de Matemáticas-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.fullNameAlvarado Martel, Dácil-
crisitem.author.fullNameLopez Plasencia,Yaiza-
crisitem.author.fullNameSantana Del Pino, Ángelo-
crisitem.author.fullNameWägner, Anna Maria Claudia-
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