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Master Thesis

Efficacité bioclinique de l'éducation thérapeutique des diabétiques de type 2 au centre d'éducation diabétique et diététique de Nouvelle-Calédonie

Abstract : The study assessed DDEC's (Nouméa's diabetic and dietetic education center) bioclinical efficiency of the therapeutic education's program (TEP) about type 2 diabetics, based on a 6 month evaluation of BMI and HbA1c blood level. This prospective work included patients who came at DDEC for the first time from the 01/01/2011 to the 01/07/2012. Exclusion criteria are: Type 1 diabetes, age< 18, pregnancy. The main criteria was the variation of HbA1c after 6 month of follow-up. Secondary end points were BMl's and abdominal perimeter's variation. TEP, after an educational diagnosis lead with the patient, was conducted as a traineeship. On TEP's each step, patient's data are filed by a team member using factsheet and care guide. 130 on 237 patients were reviewed at a 6 month follow-up. The study showed an improvement of patient's bioclinical health ( significant decrease of HbA1c: 0,72%, BMI: 0,55 kg/m2 , abdominal perimeter: 1,81cm (male) and 1,62 (female)). Moreover it exposed a HbA1c significant decrease (0,74%) from inclusion to the last biological check, enhancing awareness of the patient even before traineeship. At last, it set forth that training objectives are specific to each patient and are focused on quality of life improvement. Education interference are however various and hard to take over.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00875341
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Submitted on : Monday, October 21, 2013 - 5:22:49 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
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  • HAL Id : dumas-00875341, version 1

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Joséphine Stoven. Efficacité bioclinique de l'éducation thérapeutique des diabétiques de type 2 au centre d'éducation diabétique et diététique de Nouvelle-Calédonie. Médecine humaine et pathologie. 2013. ⟨dumas-00875341⟩

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