High knowledge about diabetes decreases the likelihood of retinopathy in type 1 diabetic patients treated with intensive insulin therapy from the onset of the disease
Journal Title: Archives of Medical Science - Year 2005, Vol 1, Issue 4
Abstract
Introduction: The aim of the study was to evaluate type 1 diabetic patients treated with intensive functional insulin therapy from the onset of the disease. Material and methods: 100 patients aged under 30 with newly diagnosed type 1 diabetes, educated in intensive insulin therapy at baseline were recruited to this single-centre clinical trial. At follow-up (5.2±1.5 years) the participants underwent a test concerning their knowledge about diabetes (20 questions). According to test results the patients were divided into three groups: group A (17 scores). The relationship between the patients' knowledge and metabolic control, hsC-reactive protein and late diabetic complications was assessed. Results: At follow-up fasting plasma glucose 7.2±3.4 mmol/l, 2 hour postprandial plasma glucose 9.4±3.6 mmol/l, HbA1c 7.5±1.4%. In the knowledge test 20% reached 17 scores (mean 14.4±3.2 scores). The hsCRP level was 4.94±1.53 mg/l. We observed statistically significant differences in hsCRP concentrations between the high and low levels of knowledge groups. The level of patients' knowledge significantly negatively correlated with hsCRP and HbA1c (r=-0.41, p
Authors and Affiliations
Aleksandra Araszkiewicz, Dorota Zozulińska, Magdalena Trepińska
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