Therapeutic patient education and treatment intensification of diabetes and hypertension in subjects with newly diagnosed type 2 diabetes mellitus: a longitudinal study

• Published in: Endocrine 2024-10, Vol.86 (1), p.127-134
• Main Authors: Coppola, Adriana, Chuquitaype, Maritza, Guglielmo, Selene, Pujia, Roberta, Ferrulli, Anna, Falcone, Colomba, Maurotti, Samantha, Montalcini, Tiziana, Luzi, Livio, Gazzaruso, Carmine
• Format: Article
• Language: English
• Subjects: Adult; Aged; Antihypertensive Agents - therapeutic use; Diabetes; Diabetes mellitus (non-insulin dependent); Diabetes Mellitus, Type 2 - therapy; Endocrinology; Female; Glycated Hemoglobin - analysis; Humanities and Social Sciences; Humans; Hypertension; Hypertension - drug therapy; Hypertension - therapy; Hypoglycemic Agents - therapeutic use; Internal Medicine; Longitudinal Studies; Male; Medicine; Medicine & Public Health; Middle Aged; multidisciplinary; Multivariate analysis; Original Article; Patient education; Patient Education as Topic; Prospective Studies; Quality of life; Science
• ISSN: 1559-0100; 1355-008X; 1559-0100
• DOI: 10.1007/s12020-024-03839-8

Purpose The aim of this study is to prospectively evaluate whether individual and group Therapeutic Patient Education (TPE) can reduce the need to intensify treatment of diabetes and hypertension in newly diagnosed type 2 diabetic patients. Methods A total of 937 patients were recruited and followed-up for 42.7 ± 21.5 months. TPE was a structured comprehensive education delivered by trained nurses: 322 patients received individual TPE (ITPE), 291 underwent group TPE (GTPE), and 324 were in Usual Care (UC). The primary endpoints were intensification of diabetes treatment and intensification of hypertension treatment. Results The rate of diabetes treatment intensification was 40.1% in patients receiving ITPE, 47.8% in patients undergoing GTPE, and 64.2% in patients in UC ( p