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Education programmes for persons with type 1 diabetes using an insulin pump: A systematic review: a systematic review

Publikation: Bidrag til tidsskriftReviewForskningpeer review

DOI

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Vis graf over relationer

Education is essential in insulin pump therapy, but literature in the field is limited. We systematically reviewed insulin pump education programmes and their effects in two situations as follows: (1) basic education at the start of insulin pump therapy, providing the study design enabled us to separate the effects of insulin pump therapy itself from the effects of education and (2) re-education of experienced pump users. Population: individuals ≥16 years with type 1 diabetes using insulin pumps with or without continuous glucose monitoring. Systematic searches were run in MEDLINE, Embase, CINAHL and ERIC. Original studies reporting an effect of insulin pump education programmes were included if published in English between January 1999 and May 2019. Of 988 potentially relevant studies, 48 were assessed in full text. Nine studies fulfilled the inclusion criteria, including one randomised controlled trial. Educational approaches and settings were sparsely described in all studies, and the content was usually reported as teaching points. Two studies considered basic education, reporting evaluations of knowledge and application skills, and programme satisfaction. The remaining seven studies referred to re-education. Two studies measured severe hypoglycaemic events before and after a re-education intervention, both reporting a significant event reduction. HbA1c decreased significantly in three of four studies. Two studies reported increased knowledge and improved application skills. In conclusion, this review indicates benefits from basic education and from re-education. The strength of the conclusions is limited by the low number of studies and study designs. High-quality studies are needed comparing different approaches for insulin pump education.

OriginalsprogEngelsk
Artikelnummere3412
TidsskriftDiabetes - Metabolism: Research and Reviews (Print Edition)
Vol/bind37
Udgave nummer5
Sider (fra-til)e3412
ISSN1520-7552
DOI
StatusUdgivet - jul. 2021

Bibliografisk note

Funding Information:
We thank information specialist Ole Norgaard at Steno Diabetes Center Copenhagen for valuable help in the systematic search process. Karen Rytter, Signe Schmidt, Lauge Neimann Rasmussen and Kirsten Nørgaard are employed at Steno Diabetes Center Copenhagen, a public hospital and research institution under the Capital Region of Denmark, which is partly funded by a grant from the Novo Nordisk Foundation. The funders had no role in any part of this article.

Funding Information:
Karen Rytter and Kirsten Nørgaard conceived the study idea and designed the study in collaboration with Signe Schmidt and Lauge Neimann Rasmussen. Lauge Neimann Rasmussen developed the search string. Karen Rytter, Signe Schmidt and Kirsten Nørgaard performed the screening of abstracts and full text articles. Signe Schmidt, Ulrik Pedersen‐Bjergaard, Kirsten Nørgaard and Karen Rytter assessed the studies supported by methodological advice from Lauge Neimann Rasmussen. Signe Schmidt, Ulrik Pedersen‐Bjergaard, Kirsten Nørgaard and Karen Rytter extracted the data and drew conclusions. All authors provided input, critical revision and editing of the manuscript, based on a draft written by Karen Rytter.

ID: 60964564