Show simple item record

dc.contributor.authorWheatley, Sean D
dc.contributor.authorArjomandkhah, Nicola C
dc.contributor.authorMurdoch, Campbell
dc.contributor.authorWhitaker, Matthew JG
dc.contributor.authorEvans, Nina M
dc.contributor.authorHollinrake, Paul B
dc.contributor.authorReeves, Trudi E
dc.contributor.authorWellsted, David
dc.contributor.authorDeakin, Trudi A
dc.date.accessioned2021-12-06T13:30:02Z
dc.date.available2021-12-06T13:30:02Z
dc.date.issued2021-12-02
dc.identifier.citationWheatley , S D , Arjomandkhah , N C , Murdoch , C , Whitaker , M JG , Evans , N M , Hollinrake , P B , Reeves , T E , Wellsted , D & Deakin , T A 2021 , ' Improved blood glucose control, cardiovascular health and empowerment in people attending X-PERT structured diabetes education ' , Practical Diabetes , vol. 38 , no. 6 , pp. 31 . https://doi.org/10.1002/pdi.2368
dc.identifier.otherPURE: 26420391
dc.identifier.otherPURE UUID: 4c197850-e1a0-4c20-b6f8-efbfe15d25bd
dc.identifier.otherScopus: 85120436183
dc.identifier.urihttp://hdl.handle.net/2299/25225
dc.description© 2021 John Wiley & Sons. This is the accepted manuscript version of an article which has been published in final form at https://doi.org/10.1002/pdi.2368
dc.description.abstractThe aim of the audit was to assess the change in key health markers in people with, or at risk of, diabetes who attended X-PERT structured diabetes education. Data from X-PERT programmes are entered into a central database. Twelve-month changes in anthropometric and clinical variables – and diabetes medication usage – are reported for programmes run between 1 January 2017 and 31 December 2018. Where appropriate, paired t-tests were performed. In total, 29,703 participants were registered to attend a programme during this period, of which 23,118 (78%) attended at least one session. Of those who attended at least one session18,039 (78%) completed a programme. Ninety-nine percent (3342) of participants with clinical data available had type 2 diabetes. Meaningful reductions in HbA1c were seen (-8.6mmol/mol,95% CI -9.2 to -8.0mmol/mol [-0.8%, 95% CI -0.8 to -0.7%]; n=2957; p<0.001); and there were statistically significant reductions in body weight, BMI, waist circumference, fasting blood glucose, total cholesterol, low-density lipoprotein cholesterol, triglycerides, total cholesterol to high-density lipoprotein cholesterol ratio, and triglycerides to high-density lipoprotein cholesterol ratio (all p<0.001). No change in high-density lipoprotein cholesterol was observed. Of the 1180 participants who were recorded as taking diabetes medication at baseline, 632(54%) were able to reduce the number of medications they were taking and 278 (24%) were able to omit them entirely. Participant empowerment score increased by 20%. Improvements in glycaemic control, weight management and cardiovascular disease risk, as well as reduced medication requirements and an increased feeling of empowerment, were observed in people who attended X-PERT structured diabetes education programmes.en
dc.format.extent5
dc.language.isoeng
dc.relation.ispartofPractical Diabetes
dc.subjectDiabetes
dc.subjecthealth education
dc.subjectEndocrinology, Diabetes and Metabolism
dc.titleImproved blood glucose control, cardiovascular health and empowerment in people attending X-PERT structured diabetes educationen
dc.contributor.institutionCentre for Health Services and Clinical Research
dc.contributor.institutionHealth Research Methods Unit
dc.contributor.institutionSchool of Life and Medical Sciences
dc.contributor.institutionDepartment of Psychology, Sport and Geography
dc.description.statusPeer reviewed
dc.date.embargoedUntil2022-12-02
dc.relation.schoolSchool of Life and Medical Sciences
dcterms.dateAccepted2021-12-02
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1002/pdi.2368
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record