Abstract
AbstractPatients wishing to transfer to intensified insulin therapy through a shortened skills‐based learning programme were offered both an insulin matching carbohydrate counting programme (ICT) and continuous subcutaneous insulin infusion (CSII). In total 70 patients transferred to ICT following a median of 90 minutes of professional input. In a prospective audit, improved glycaemic control was maintained for one year on ICT (initial HbA1c 9.3±1.5%, 6/12 HbA1c 8.3±1.4%, n = 67, p<0.001; one year 8.3±1.4%, n=64, p<0.001). In 12 patients who switched to CSII after a period on ICT, a significant improvement in HbA1c was seen following ICT (pre‐ICT HbA1c 9.6±1.5%, post‐ICT HbA1c 8.3±1.4%, t = 2.9, p<0.02), but no further improvement was seen after a further year of CSII (HbA1c 8.4±0.8%, n = 9).CSII does not appear to offer significant glycaemic control advantages over ICT in this programme. Patient satisfaction with both therapies is high, but the ease of transfer and success of ICT make this our preferred option. Copyright ©2004 John Wiley & Sons, Ltd.
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