93006 Clinical Practice In Diabetes

Diabetes being one of the chronic diseases, the patients should actually do their best in the management and the treatment of the disease. They should also try in maintaining the normalcy of their metabolic status maybe through electronic learning (Kim, 2007). This is one way in which the patients use the internet in getting information because most of the health providers lack time for the training. The main aim or objective of the study was to find out if electronic education about metabolic indicator has the impact on patients whose diabetes is dependent on insulin. Diabetes education can play an important part in controlling the disease (Kim, 2007).            

In this study, 52 patients who were diabetic participated. 24 participants for each group was calculated as the sample size. For α group being 5% and the β group being 80%. There were those who qualified the criteria of inclusion and those willing to be part of the study in 147 participants. There were put into different control groups or experimental depending on their odd and even numbers. The even and odd numbers were determined by throwing a coin. The patients to be chosen had to have diabetes and needed insulin. This was one of the inclusion criteria. Another criterion was that the blood glucose was to be monitored by the patient or a family member using a glucometer. The patients who had any chronic disease or was pregnant had to be excluded. The educational advice was provided to the control group while the experimental group joined various intervention programs. The control group was then given a chance to get into the website after a post-test collection of data for analysis. The patients who did not attempt including the information into the website or even stopped taking part in the study were not among the analysis of data list.    

Intervention program had an educational site which trained patients who were diabetic. The site had questions that were frequently asked, educational subjects, educational films, room for chatting, question and answer section and even a patient’s personal details (Lee et al., 2007). Before beginning the intervention, the patient or a member of the family was given a way in which they would access the data. This lasted for almost three hours. On the site was a daily information which was filled according to the patient’s glucose level, insulin dose, and diabetes kind. The question-answer section is a platform in which the physician, nurse, and the doctor provided information and the answers were sent within a span of 24hours. Only the patient and the healthcare team had that access to the personal details of the patient. The personal details were then studied and the recommendations send in a week.     

Two participants were excluded from the intervention program because of their failure to enter the data into the website. Two patients from the control group were also excluded because they were not willing to continue with the study. Type 1 diabetes was found in nearly all the 48 participants. At the beginning of the intervention, mean average HbA1C decreased from 9.10% to 7.07% for the experimental group. Mean LDL also decreased from 103.04mg/dl to 94.83mg/dl (Cho et al., 2007). Mean HDL increased from 40mg/dl to 45.48mg/dl. For the control group, HDL increased but there were no changes in both the LDL and HbA1C (Cho et al., 2007).

Since electronic education leads to a decrease in HbA1C and LDL in patients who are diabetic and need insulin I recommend the use of it in diabetic patients. Electronic education will ensure that the patients get the maximum information as opposed to when they visit a doctor. This I think is one great advantages. I think electrical education, on the other hand, has a disadvantage in that patients need a timely information so as to affect their behavioral changes.  Therefore, I think electronic education and continuous advice are highly recommended in helping patients who are diabetic and need insulin.

References

Cho JH, Chang SA, Kwon HS, Choi YH, Ko SH, Moon SD, Yoo SJ, Song KH, Son HS, Kim HS, Lee WC, Cha BY, Son HY & Yoon KH (2006) Long-term effect of the internet-based glucose monitoring system on HbA1c Reduction and glucose stability: a 30-month follow-up study for diabetes management with a ubiquitous medical care system. Diabetes Care 29, 2625–2631.

Lee JR, Kim SA, Yoo JW & Kang YK (2007) The present status of diabetes education and the role recognition as a diabetes educator of nurses in korea. Diabetes Research and Clinical Practice 77, 199–204.

Kim HS (2007) Impact of web-based nurse’s education on glycosylated haemoglobin in type 2 diabetic patients. Journal of Clinical Nursing 16, 1361– 1366.