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Diabetes mellitus

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“Back to school again” — education programs for patients with diabetes mellitus

https://doi.org/10.14341/DM13251

Abstract

Therapeutic education for patients with diabetes mellitus (DM) has become an important and mandatory component of the comprehensive management of this disease. This approach integrates several disciplines such as medicine, pedagogy and psychology, making it a unique field aimed at improving the health and quality of life of patients. The goal of therapeutic education is not only to provide information about the disease, but also to teach the patient self-management skills, proper nutrition, self-adjustment of insulin doses, and recognizing the signs of possible complications.

Effective management of DM is impossible without the patient’s participation. Continuous monitoring of glucose levels, timely adjustments of insulin doses and compliance with dietary recommendations require the patient’s informed and active participation in the treatment process. Therapeutic education helps patients to better understand their condition, recognize the importance of self-management and improve their disease management skills. Thus, education becomes an integral part of treatment, ensuring the achievement of long-term goals for maintaining optimal glycemia levels and preventing the development or progression of complications.

Since the end of the 20th century, Russia began to develop its own school of therapeutic education for patients with diabetes mellitus. Various programs were created, including courses for patients and their relatives, seminars with doctors. These programs have proven to be effective in the long term, as evidenced by the improvement of carbohydrate metabolism compensation indicators in patients with diabetes, as well as a reduction in the frequency of hospitalizations and complications.

Thus, therapeutic education within the framework of comprehensive diabetes treatment not only contributes to the improvement of individual health indicators of patients, but also has a positive impact on the overall efficiency of the health care system.

About the Authors

A. S. Odarchenko
Endocrinology Research Centre
Russian Federation

Arina S. Odarchenko, MD, postgraduate student

11 Dm. Ulyanova street, 117036 Moscow



D. Y. Savitskaya
Endocrinology Research Centre
Russian Federation

Daria Y. Savitskaya, MD

11 Dm. Ulyanova street, 117036 Moscow



Yu. I. Philippov
Endocrinology Research Centre
Russian Federation

Yury I. Philippov, MD

11 Dm. Ulyanova street, 117036 Moscow



L. I. Ibragimova
Endocrinology Research Centre
Russian Federation

Liudmila I. Ibragimova, MD, PhD

11 Dm. Ulyanova street, 117036 Moscow



O. G. Melnikova
Endocrinology Research Centre
Russian Federation

Olga G. Melnikova, MD, PhD, leading research associate

11 Dm. Ulyanova street, 117036 Moscow



M. V. Shestakova
Endocrinology Research Centre
Russian Federation

Marina V. Shestakova, MD, PhD, Professor, Academician of the RAS

11 Dm. Ulyanova street, 117036 Moscow



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Supplementary files

1. Figure 1. Elliott Proctor Joslin (1869–1962). Photo from a public source.
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2. Figure 2. Staff of the All-Union Endocrinology Research Center of the USSR Academy of Medical Sciences during internship at the University Clinic of Düsseldorf on therapeutic education for patients with diabetes (from left to right): M. Berger, E.V. Surkova, M.B. Antsiferov.
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3. Figure 3. Staff of the All-Union Endocrinology Research Center of the USSR Academy of Medical Sciences at an international seminar on therapeutic education (from left to right): A.Yu. Mayorov, G.R. Galstyan, J.-F. Assal, E.V. Surkova.
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4. Figure 4. First experience of therapeutic education for patients with diabetes during “Diabetes Schools” in Russia, 1989 (top row, left to right: Starostina E.G., Galstyan G.R.; bottom row: Mayorov A.Yu.).
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5. Figure 5. The first structured therapeutic education programs for patients with diabetes in the Russian Federation.
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6. Figure 6. Existing structured education programs.
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7. Figure 7. Modern educational books for patients with diabetes.
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Type Исследовательские инструменты
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8. Figure 8. Patient information leaflets for diabetes management.
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Type Исследовательские инструменты
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Review

For citations:


Odarchenko A.S., Savitskaya D.Y., Philippov Yu.I., Ibragimova L.I., Melnikova O.G., Shestakova M.V. “Back to school again” — education programs for patients with diabetes mellitus. Diabetes mellitus. 2025;28(1):26-37. (In Russ.) https://doi.org/10.14341/DM13251

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ISSN 2072-0351 (Print)
ISSN 2072-0378 (Online)