Effects of Nurse-counselling in the Improvement of the type1 Diabetes Control in Adolescents
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About
The incidence of type 1 diabetes is increasing in France. A recent cross sectional study has shown that in France, only 15% of children and 26% of adults had HbA1c<7%. Adolescents seem to need particularly a better metabolic control.
Working Hypothesis:
We hypothesized that a stricter control of glycaemia by nurse-counselling could probably improve metabolic control in adolescents with type 1 diabetes.
Objectives:
To show that nurse-counselling may improve levels of patient satisfaction.
Methodology:
The main criterion is the patient acceptance of diabetes measured by an analogical visual scale rated from 0 (I cope very well with my diabetes, I cope very badly with my diabetes) to 10 cm. The scale will be measured every quarter within 12 months follow-up. We wish to improve patient's appreciation by 10 mm, near to "I cope very well with my diabetes".
This is a randomised parallel group study with 36 subjects in each group. During the follow-up, the "routine follow-up" group will continue its routine care. The "complementary follow-up" group will be called by nurses every 15 days and consult monthly. HbA1c is the secondary criterion and will be measured every 3 months.
The total study duration is 18 months including 6 months for the recruitment and 12 months for the patients follow-up
Enrollment
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Volunteers
Inclusion criteria
- Patients aged 13 to 18 years with a type1 diabetes diagnosed at least one year earlier,
- HbA1c rate > 8 %.
Exclusion criteria
- HbA1c < 8 %;
- patients participating in another study
Trial design
77 participants in 2 patient groups
Trial contacts and locations
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Data sourced from clinicaltrials.gov
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