Abstract
The Dose Adjustment for Normal Eating (DAFNE) course is a structured education program that aims to teach type 1 diabetes to change their self care behaviors by estimating the carbohydrate content of food and adjusting their insulin doses accordingly in order to maintain metabolic control. Microalbuminura is well known to increase morbidity and mortality. DAFNE has been found to improve the gylcosylated haemoglobin but no dietician education porga has been shown to be effective on albuminurea. Our aim of this study was to investigate the effect of a DAFNE course on regression of albuminurea. Seventy two type 1 patients have completed DAFNE course in Kuwait led by dieticians. Twenty eight participants were positive for albuminuria prior to DAFNE Course. Carbohydrate counting skills resulted in improvement of HbA1c. Twnety participants had regression in their albuminuria without blood pressure intervention. In conclusion, this study shows significantly improvement in albuminurea with sustained improvement in HbA1c through better carbohydrate skills. DAFNE course should prove cost effective with sustained glycemic profile and improvement of albuminuria and should become more widely available.
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