Abstract
Introduction: In 2019, there were 4.5 million people with diabetes in France. To assist them, general practitioners can offer therapeutic patient education sessions (TPE). An education network was created for this purpose by healthcare professionals in the south of the Aisne region of France. With hindsight, what has been the impact of a TPE network like this one? Objectives: The main objective of the study was to assess the effects of unstable type 2 diabetic (T2DM) patients’ participation in the activities of an education network on body mass index (BMI) and glycated hemoglobin (HbA1c). These patients were monitored from January 2013 to June 2018. The secondary objective was to determine the impact of adapted physical activity sessions (APA) and of TPE on the two selected clinic-biological parameters. Methods: A retrospective, quantitative, and monocentric, observational study was performed with analysis of the evolution of HbA1c and BMI of T2DM patients. They were monitored for more than six months in the network between 2013 and 2018, using the Logireso® database. Statistical analysis was performed using SPSS® software. BMI and HbA1c were analyzed by Student›s T test for paired samples. A linear regression test was performed to assess whether there is a correlation between two variables among those measured. Results: Fifty-nine patients met the inclusion criteria (20.92% of participants in the network). The decreases in BMI (–1.65 kg/m²) and HbA1c (–0.86%) of the patients studied were significant (p Conclusion: The study showed the overall effectiveness of the proposed program in reducing BMI and HbA1c without highlighting a single factor that could explain it.
Highlights
In 2019, there were 4.5 million people with diabetes in France
This study showed that an improvement in body mass index (BMI) measurements (–1.65 kg/m2) and HbA1c (–0.86%) was found in 59 patients with unbalanced type 2 diabetes at the end of an educational course including patient therapeutic education sessions and adapted physical activities
Other studies could prove useful in investigating the impact of therapeutic patient education sessions (TPE) programs and adapted physical activity on other criteria such as quality of life or the development of self-care skills, for example. This study made it possible to highlight the positive impact of the educational program offered by a health network with a decrease in the values of BMI and HbA1c in patients with type 2 diabetes
Summary
In 2019, there were 4.5 million people with diabetes in France. To assist them, general practitioners can offer therapeutic patient education sessions (TPE). Objectives: The main objective of the study was to assess the effects of unstable type 2 diabetic (T2DM) patients’ participation in the activities of an education network on body mass index (BMI) and glycated hemoglobin (HbA1c). These patients were monitored from January 2013 to June 2018. According to the Entred (National Control Sample Representative of People with Diabetes) study conducted over the years of 2007 to 2010, (French public health agency, 2019) the average age of patients with type 2 diabetes was 65 and a quarter of them were over 75 years old. The goal is to control capillary blood glucose, obtain glycated hemoglobin (HbA1c) levels within the recommended target range, as well as BMI, in order to limit the short-, medium-, and long-term complications of the disease (French national authority for health, 2014; French society of endocrinology, 2016)
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