Kontakt 2024, 26(3):260-266 | DOI: 10.32725/kont.2024.041

The effects of a hypoglycaemia education programme on the outcomes in patients with type 2 diabetesNursing - Original article

Asli Tok Özen1, *, Seyda Özcan2
1 Çankiri Karatekin University, Faculty of Health Sciences, Çankiri, Turkey
2 Atlas University, Faculty of Health Sciences, Istanbul, Turkey

Aim: This study aims to evaluate how a Hypoglycaemia Education Programme (HEP) affects the hypoglycaemia outcomes of patients with Type 2 Diabetes Mellitus (T2DM).

Methods: This study which included a six-month follow-up was conducted with 101 patients with T2DM receiving insulin in the outpatient diabetes clinic. The patients were assigned to the HEP group (n = 51) and the control (n = 50) group. Patients in the HEP group participated in the Hypoglycaemia Education Programme. The patients in both groups were assessed at baseline, and one, three, and six months after HEP using the Clarke Hypoglycaemia Awareness Scale and the Hypoglycaemia Fear Survey in terms of frequency, self-management behaviours of hypoglycaemia, fasting and postprandial blood glucose levels, and haemoglobin A1c (HbA1c) levels.

Results: The HEP group had a higher score of hypoglycaemia awareness in six months compared to the control group (p = 0.006). Fear of hypoglycaemia decreased significantly (p < 0.001) but the frequency of hypoglycaemia did not change in the HEP group compared to the control group (p > 0.05). While self-management behaviours for hypoglycaemia improved in the HEP group, no change was observed in the control group (p = 0.005). Moreover, HbA1c lowered significantly in the HEP group (p < 0.01).

Conclusion: As a unique first programme on hypoglycaemia management in T2DM in Turkey, HEP is effective for improving self-management behaviours for hypoglycaemia, hypoglycaemia awareness, and glycaemic control.

Keywords: Fear of hypoglycaemia; Hypoglycaemia; Hypoglycaemia awareness; Patient education; Type 2 diabetes mellitus
Conflicts of interest:

The authors declare no conflicts of interest, including any financial, personal, or other relationships with other people or organisations within three years of beginning the submitted work that could inappropriately influence, or be perceived to influence, their work.

Received: May 3, 2024; Revised: August 19, 2024; Accepted: September 6, 2024; Prepublished online: September 11, 2024; Published: September 24, 2024  Show citation

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Tok Özen A, Özcan S. The effects of a hypoglycaemia education programme on the outcomes in patients with type 2 diabetes. Kontakt. 2024;26(3):260-266. doi: 10.32725/kont.2024.041.
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