Xavier Debussche|Fidéline Collin|A. Fianu|Maryvette Balcou-Debussche|Isabelle Fouet-Rosiers|Michèle Koleck|F. Favier
Structured self-management education maintained over two years in insufficiently controlled type 2 diabetes patients: the ERMIES randomised trial in Reunion Island
Centre Hospitalier Universitaire de La Réunion|Centre Hospitalier Universitaire de La Réunion|Inserm|French National Centre for Scientific Research|Observatoire des Sciences de l'Univers de la Réunion|Centre Hospitalier Universitaire de La Réunion|Centre Hospitalier Universitaire de La Réunion|Inserm
selfmanagement education programs reduce complications mortality type 2 diabetes need structure programs outpatient community care vision longterm maintenance recognised reunion island area affected epidemiological nutritional transition diabetes affects 18 adult population 30 years major social disparities poor glycaemic control frequent cardiovascular complicationsermies randomised controlled trial designed test efficacy longterm 2 years structured group self management educational intervention improving blood glucose nonrecent insufficiently controlled diabetes initial structured educational cycle carried blind intervention arm patients randomised two parallel group arms 120 subjects structured ongoing group educational intervention maintained two years versus initial education education sessions organised regional diabetes management network performed trained registered nurses close quarters educational approach theoretically based socioconstructivism social contextualisation empowerment action planning reproducible thanks curricula handouts educators learners subjects recruited five hospital outpatient settings reunion island main eligibility criteria include age 18 years type 2 diabetes treated one year hba1c 75 3 months without severe evolving complication ischaemic proliferative retinopathy severe renal insufficiency coronaropathy evolving foot lesion absence major physical cognitive handicap primary outcome measure hba1c evolution inclusion 2 years secondary outcome measures include anthropometric indicators blood pressure lipids antidiabetic medications level physical activity food ingestion quality life social support anxiety depression levels selfefficacy associated nested qualitative study conducted 30 40 subjects order analyse learning adaptation processes education cycles throughout studythis research help address necessary difficult issue structuring therapeutic education type 2 diabetes based efficacy potential interest organising ongoing empowerment groupsessions close quarters long term heterogeneous socioeconomic environmentidrcb number 2011a0004635clinicaltrialsgov number nct01425866