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Open Access Evaluation of a Self-Awareness Intervention for Adults with Type 1 Diabetes and Hypoglycemia Unawareness Évaluation d'une intervention favorisant la perception personnelle chez les adultes souffrant d'un diabète de type 1 et d'hypoglycémie non perçue

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The purpose of this prospective before-and-after study was to determine whether there are psychosocial and physical benefits of a self-awareness intervention for adults with type 1 diabetes and hypoglycemia unawareness (HU). A total of 29 adults participated in the self-awareness intervention of 8 sessions, each lasting 3 hours. Psychosocial (integration, diabetes quality of life) and physical (number of body cues, HU-related events, HbA1c) measures were taken at baseline and at 6, 12, and 18 months post-intervention. Post-intervention the participants detected more cues of euglycemia and hypoglycemia and experienced significant increases in integration and metabolic control (HbA1c). The number of HU-related events was not decreased and diabetes quality-of-life results were unstable. A self-awareness intervention can have physical and psychosocial benefits and has implications for diabetes education. This intervention needs to be tested in a multi-centre randomized control trial.

L'objet de cette étude prospective avant-après était de déterminer les éventuels avantages psychosociaux et physiques d'une intervention favorisant la perception personnelle chez les adultes souffrant d'un diabète de type 1 et d'hypoglycémie non perçue (HU). Vingt-neuf adultes en tout ont participé aux 8 séances d'intervention, d'une durée de 3 heures chacune. Des mesures psychologiques (intégration, qualité de vie des personnes diabétiques) et physiques (nombre de signaux corporels, événements liés à la non perception de l'hypoglycémie, HbA1c) ont été faites au départ, puis 6, 12 et 18 mois après les séances. Après l'intervention, les participants détectaient davantage de signes d'euglycémie et d'hypoglycémie; leur intégration et leur contrôle métabolique (HbA1c) présentaient également une hausse significative. Le nombre d'événements liés à la non perception de l'hypoglycémie n'avait pas diminué et on notait des résultats instables en ce qui concerne la qualité de vie des personnes diabétiques. Une intervention favorisant la perception personnelle peut avoir des avantages physiques et psychosociaux, de même qu'elle a des implications pour l'éducation en matière de diabète. Cette intervention doit être testée dans une étude contrôlée, randomisée et multicentrique.

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Document Type: Research Article

Publication date: 01 September 2008

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