Health care for persons with non-insulin-dependent diabetes mellitus: the German experience

Article Abstract:

A comprehensive educational program for patients with non-insulin dependent diabetes mellitus (NIDDM) that encourages patient interaction and discourages drug intervention seems to have beneficial effects. Researchers outlined this educational program currently used by 12,500 doctors on 200,000 patients with NIDDM not taking insulin in Germany. Patients attend 4 small group sessions led by a trained health professional that educate them about diabetes and teach them how to perform self-monitoring tests such as urine strip tests and foot examinations. Session leaders also provide realistic nutritional information and encourage patients to exercise regularly and self-monitor the effects of weight loss and certain foods on their urine sugar levels. Beneficial effects of this program include improved blood sugar levels, weight loss and the use of only half as many antidiabetic drugs. Preliminary results indicate similar benefits of this program for patients with NIDDM that take insulin.

Education, Diabetics

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Introduction: Risks and Benefits of Intensive Management in Non-insulin-dependent Diabetes Mellitus

Article Abstract:

Tighter control of blood glucose and hemoglobin A1 levels in patients with non-insulin dependent diabetes mellitus (NIDDM) may be both beneficial and cost-effective. A diverse group of professionals representing the field of diabetes, including specialists, primary care providers, researchers, insurance companies, and patient groups, met to discuss the benefits and cost-effectiveness of more tightly managing patients with NIDDM. They concluded that tighter control over hemoglobin A1 levels would benefit patients with NIDDM and may result in fewer cases of small vessel disease with these patients. Studies designed to analyze the effects of this control on large vessel disease may be helpful. Health care costs associated with tighter management of NIDDM should be viewed as a measure to prevent future costs of more expensive complications.

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