Patients with type 1 diabetes self-reported views on their own condition management reveal links to potential improved outcomes and numbers of potential areas for service improvement

Stedman, M.; Fryer, A.; Duff, C.; Gadsby, R.; Rea, R.; Grady, K.; McLoughlin, K.; Wong, L.; Paisley, A.; Heald, A.

Abstract

Aims Patient's own self-management of their type 1 diabetes has moved forward in many areas over the last 40 years. An examination of the observed variation within patients own treatment patterns might reveal valuable insights.

Methods An electronic self-reported questionnaire containing 40 questions with fixed response sets was prepared in consultation with clinicians and patients and circulated to patient members of the Northern Care Alliance Survey Group with type 1 diabetes.

Results Ninety-three responders provided completed responses. Over 70% were >50 years old and had diabetes for >20 years with 60% of patients HbA1c results <64mmol/mol.

Fixed responses were allocated specific values (e.g. not confident=0 fairly confident=1 etc.). Multivariant regression analysis was carried out linking HbA1c to 20 potential different factors. Only those five factors with p-value < 0.05 were retained. The final statistical model could explain 42% of the observed variation in HbA1c.

The factors that linked to higher HbA1c results included more units of basal insulin (p < 0.001), lower number of daily blood glucose tests (p=0.02), higher pre-meal blood glucose target levels (p=0.01), lower patient's concern over long-term impact of high blood glucose (BG) (p=0.03), higher patient's concern over current blood glucose values (p=0.001).

Conclusions This group comprised long-term engaged people who have better glycaemic control than national average, but even within this group there was sufficient variation to highlight aspects that could be improved including ensuring patients are (a) aware of the long-term risks, (b) confident in their ability and (c) implement appropriate insulin dosage to adjust for shorter term variations in their daily life.

Citation

Stedman, M., Fryer, A., Duff, C., Gadsby, R., Rea, R., Grady, K., …Heald, A. (2020, September). Patients with type 1 diabetes self-reported views on their own condition management reveal links to potential improved outcomes and numbers of potential areas for service improvement. Poster presented at Diabetes UK Professional Conference 2020

• Presentation Conference Type: Poster
• Conference Name: Diabetes UK Professional Conference 2020
• Deposit Date: Jun 26, 2023
• Publisher URL: https://onlinelibrary.wiley.com/toc/14645491/2020/37/S1