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SGS: a structured treatment and teaching programme for older patients with diabetes mellitus


Age and Ageing

Type: Report
Region: Republic of Ireland
Northern Ireland

Anke K. Braun, Thomas Kubiak, Jörn Kuntsche, Martina Meier-Höfig, Ulrich A. Müller, Irene Feucht and Andrej Zeyfang1 Bethanien Hospital Heidelberg, Geriatrics Department at the University of Heidelberg, Heidelberg, Germany2 Research Fellow of the Robert Bosch Foundation, Stuttgart, Germany3 Institute for Psychology, University of Greifswald, Germany4 Bürgerhospital Friedberg, Friedberg, Germany5 Hospital Kiel, Kiel, Germany6 Department of Internal Medicine III, University of Jena, Jena, Germany7 Bethesda Hospital Stuttgart, Stuttgart, GermanyAddress correspondence to: Andrej Zeyfang, Bethesda Hospital Stuttgart, Hohenheimer Strasse 21, 70184 Stuttgart, Germany. Tel: (+49) 711 2156 251. Email: andrej.zeyfang@bethesda-stuttgart.deObjectives: evaluation of the effectiveness of a new structured diabetes teaching and treatment programme (DTTP) with specific didactical approaches and topics for geriatric patients with diabetes mellitus.Design: a prospective randomised controlled multi-centre trial.Setting and participants: a total of 155 geriatric patients were randomly admitted to either the new DTTP SGS (n = 83) or the standard DTTP (n = 72) for insulin-treated patients with type 2 diabetes mellitus (HbA1c 8.0 ± 1.4%, age 76.2 ± 6.3 years).Measurements: biometrical data, metabolic control, acute complications, diabetes knowledge, self-management.Results: SGS participants showed improved levels of HbA1c 6 months after the DTTP, and less acute complications than the standard group (P<0.009). Both groups demonstrated a good capacity for diabetes self-management and improvement in diabetes knowledge after the DTTP (P<0.01).Conclusion: the new SGS diabetes education programme, focusing on the learning capabilities and the particular needs of older persons, is effective in improving metabolic control and in maintaining auto-sufficiency in geriatric patients with diabetes mellitus. Keywords: diabetes mellitus type 2, patient education, treatment and teaching programme, insulin therapy, randomised controlled trial, elderly



Rights: Public
Suggested citation:

Age and Ageing. (2009) SGS: a structured treatment and teaching programme for older patients with diabetes mellitus [Online]. Available from: [Accessed: 19th April 2019].


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