Education therapeutique et mesure continue de la glycemie chez le patient diabetique insulino-traite.

Blood Glucose Self-Monitoring; Diabetes Mellitus/blood/drug therapy; Humans; Hypoglycemic Agents/therapeutic use; Insulin/therapeutic use; Patient Education as Topic

Abstract :

[en] The effectiveness of a specific educational programme involving the use of a real-time glucose-sensor system to improve glucose control was investigated in patients with type 1 diabetes (glucose sensor combined with a portable insulin pump--Paradigm Real Time) and in patients with type 2 diabetes poorly controlled despite insulin therapy (Guardian RT one week per month for 3 months compared to blood glucose self-monitoring). Both studies showed a reduction in glycated haemoglobin (HbA1c) levels with the glucose sensor, associated with less symptomatic hypoglycaemic episodes. Despite some technical difficulties (mainly in patients with type 2 diabetes), this approach represents a useful tool for therapeutic education. These promising results justify the initiation of larger studies evaluating glucose sensor use in well selected diabetic patients.
[fr] L’efficacité d’un programme éducationnel fondé sur l’utilisation d’une mesure continue du glucose avec un affichage en temps réel a été évaluée chez des patients diabétiques de type 1 (système couplé à une pompe à insuline externe - Paradigm Real Time®) et chez des patients diabétiques de type 2 mal contrôlés sous insuline (système Guardian RT® une semaine par mois pendant 3 mois versus automesure classique). Ces deux essais pilote montrent une diminution du taux d’hémoglobine glyquée (HbA1c) avec le « glucose sensor », avec moins d’hypoglycémies symptomatiques. Malgré certaines difficultés techniques (surtout chez les diabétiques de type 2), l’approche représente un outil intéressant d’éducation thérapeutique. Ces résultats prometteurs plaident pour des études de plus grande envergure chez des patients diabétiques bien sélectionnés.

Disciplines :

Endocrinology, metabolism & nutrition

Author, co-author :

Thielen, Vinciane ; Centre Hospitalier Universitaire de Liège - CHU > Diabétologie,nutrition, maladies métaboliques

Radermecker, Régis ; Centre Hospitalier Universitaire de Liège - CHU > Diabétologie,nutrition, maladies métaboliques

Renard, Eric

Bringer, Jacques

Scheen, André ; Université de Liège - ULiège > Département des sciences cliniques > Diabétologie, nutrition et maladie métaboliques - Médecine interne générale

Language :

French

Title :

Education therapeutique et mesure continue de la glycemie chez le patient diabetique insulino-traite.

Alternative titles :

[en] Therapeutic education and continuous glucose monitoring in insulin-treated diabetic patients

Publication date :

2010

Journal title :

Revue Médicale Suisse

ISSN :

1660-9379

Publisher :

Medecine et Hygiène, Switzerland

Volume :

Issue :

260

Pages :

1596-600

Peer reviewed :

Peer Reviewed verified by ORBi

Additional URL :

http://rms.medhyg.ch/resume.php?ID_ARTICLE=RMS_260_1596#hit1

Available on ORBi :

since 15 January 2011

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