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12-07-2011 | Diabetes | Article

MEDIAS 2 ICT education programme reduces diabetes-related distress


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MedWire News: A newly developed education programme significantly reduces diabetes-related distress in insulin-treated Type 2 diabetes patients, researchers report.

The investigators evaluated the efficacy of the MEDIAS 2 ICT (More DIAbetes Self-management for type 2 diabetes - Intensive Conventional insulin Therapy) education programme in comparison with a combination of two established education programmes.

As reported in the journal Patient Education and Counseling, Norbert Hermanns (Research Institute of the Diabetes Academy Mergentheim, Bad Mergentheim, Germany) and team designed the programme with the overall aim of improving glycemic control.

However, through educating patients on how to integrate insulin treatment into their daily routine, the authors aimed to help improve patients' self-management and quality of life, they explain.

The researchers analyzed the impact of the programme on glycated hemoglobin (HbA1c) levels, diabetes-related distress, diabetes knowledge, self-care behavior, quality of life and metabolic risk factors such as lipids, blood pressure and body mass index.

The 186 participants received two lessons a week over a 5-week period in either the MEDIAS 2 ICT or standard education programmes and were followed-up 6 months after the sessions ended.

The researchers found that MEDIAS 2 ICT was as effective in lowering patients' HbA1c as the established education programmes combined, with respective mean HbA1c reductions of 0.63% (from 8.5 to 7.9%) and 0.37% (from 8.2 to 7.8%) in each group by the end of follow-up.

They also report that diabetes-related distress was significantly more reduced with MEDIAS 2 ICT than with the established education, where it remained largely unchanged.

Measured by the Problem Areas in Diabetes (PAID) self report scale, which allows individuals to report on common negative feelings via a standardized 0-100 scale, distress was reported to have fallen from 52.5 to 49.1 in the MEDIAS 2 ICT group, compared with the combined education group where it increased slightly from 47.6 to 48.0.

The authors report that patients had similar improvements in self care, quality of life, diabetes knowledge, weight, lipids, and blood pressure in each education group.

In conclusion, they suggest: "The newly developed education programme MEDIAS 2 ICT should be regarded as an alternative to the previously established patient education programmes because it addresses diabetes-related distress specifically, while having a comparable efficacy with regard to glycemic control and other metabolic risk factors."

MedWire ( is an independent clinical news service provided by Springer Healthcare Limited. © Springer Healthcare Ltd; 2011

By Sally Robertson