“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. OdarchenkoRussian Federation
Arina S. Odarchenko, MD, postgraduate student
11 Dm. Ulyanova street, 117036 Moscow
D. Y. Savitskaya
Russian Federation
Daria Y. Savitskaya, MD
11 Dm. Ulyanova street, 117036 Moscow
Yu. I. Philippov
Russian Federation
Yury I. Philippov, MD
11 Dm. Ulyanova street, 117036 Moscow
L. I. Ibragimova
Russian Federation
Liudmila I. Ibragimova, MD, PhD
11 Dm. Ulyanova street, 117036 Moscow
O. G. Melnikova
Russian Federation
Olga G. Melnikova, MD, PhD, leading research associate
11 Dm. Ulyanova street, 117036 Moscow
M. V. Shestakova
Russian Federation
Marina V. Shestakova, MD, PhD, Professor, Academician of the RAS
11 Dm. Ulyanova street, 117036 Moscow
References
1. Dedov II, Shestakova MV, Andreeva EN, et al. Sakharnyi diabet: diagnostika, lechenie, profilaktika. Moscow: Meditsinskoe informatsionnoe agentstvo; 2011. (In Russ.)]
2. Ingelfinger FJ. Debates on Diabetes. New England Journal of Medicine. 1977;296(21):1228-1230. doi: https://doi.org/10.1056/nejm197705262962111
3. Kronsbein P, Jörgens V, Mühlhauser I, Scholz V, Venhaus A, Berger M. Evaluation of a structured treatment and teaching programme on non-insulin-dependent diabetes. Lancet. 1988;2(8625):1407-1411. doi: https://doi.org/10.1016/s0140-6736(88)90595-8
4. Muhlhauser I, Bruckner J, Berger M. Evaluation of a intensified insulin treatment and teaching programme as routine management of type 1 (insulin-dependent) diabetes. The Bucharest-Dusseldorf study. Diabetologia. 1987;30(9):681-690. doi: https://doi.org/10.1007/BF00296989
5. Galstyan GR, Starostina YG, Dedov II. Training of patients: An integral component in the treatment of type 1 diabetes mellitus. History of development, principles, assessment of the efficacy. Problems of Endocrinology. 1994;40(2):53-57. (In Russ.)] doi: https://doi.org/10.14341/probl11806
6. Joslin EP. The Treatment of Diabetes Mellitus. Can Med Assoc J. 1916;6(8):673-684
7. Our Founder [Internet]. The Joslin Diabetes Center. [cited 2024 Oct 20]. Available from: https://joslin.org/about/history/our-founder
8. Miller LV, Goldstein J. More efficient care of diabetic patients in a county-hospital setting. N Engl J Med. 1972;286(26):1388-1391. doi: https://doi.org/10.1056/NEJM197206292862605
9. Dedov II, Antsiferov MB, Galstyan GR, et al. Obuchenie bol’nykh sakharnym diabetom. Moscow: Bereg, 1999. (In Russ.)]
10. Dedov II, Antsiferov MB, Galstyan GR, et al. Terapevticheskoe obuchenie bol’nykh sakharnym diabetom. Moscow: Reafarm, 2004. (In Russ.)]
11. Mühlhauser I, Berger M. Patient education - evaluation of a complex intervention. Diabetologia. 2002;45(12):1723-1733. doi: https://doi.org/10.1007/s00125-002-0987-2
12. Starostina EG, Antsiferov M, Galstyan GR, et al. Effectiveness and cost-benefit analysis of intensive treatment and teaching programmes for type 1 (insulin-dependent) diabetes mellitus in Moscow--blood glucose versus urine glucose self-monitoring. Diabetologia. 1994;37(2):170-176. doi: https://doi.org/10.1007/s001250050089
13. Mayorov AY, Galstyan GR, Dvoynishnikova OM, et al. Terapevticheskoe obuchenie v Rossii: rezul’taty 15-letnego nablyudeniya bol’nykh sakharnym diabetom 1 tipa. Diabetes mellitus. 2005;8(3):52-58. (In Russ.)] doi: https://doi.org/10.14341/2072-0351-5579
14. Mel’nikova OG, Surkova EV, Mayorov AY, et al. Rezul’taty primeneniya strukturirovannoy programmy obucheniya bol’nykh sakharnym diabetom 2 tipa na insulinoterapii. Diabetes mellitus. 2008;11(4):71-75. (In Russ.)] doi: https://doi.org/10.14341/2072-0351-5595
15. Dedov II, Surkova EV, Maiorov AY, et al. Osnovy terapevticheskogo obucheniya v diabetologii: Posobie dlya vrachei, Moscow: GUP «Meditsina dlya Vas»; 2005. (In Russ.)
16. Surkova EV, Maiorov AY. Obuchenie bol’nykh sakharnym diabetom: Ruk-vo dlya meditsinskikh sester. Moscow: GUP «Meditsina dlya Vas»; 2007. (In Russ.)]
17. Surkova EV, Maiorov AY, Galstyan GR, Tokmakova AY. Obuchenie bol’nykh sakharnym diabetom: Ruk-vo dlya endokrinologov. Dedov II, editor. Moscow: GUP «Meditsina dlya Vas»; 2007. (In Russ.)]
18. Surkova EV, Maiorov AY, Mel’nikova OG. Sakharnyi diabet 2 tipa. Rukovodstvo dlya patsientov. Moscow: GEOTAR-Media; 2021. (In Russ.)] doi: https://doi.org/10.33029/9704-6250-8-DMT2-2021-1-160
19. Maiorov AY, Surkova EV, Mel’nikova OG. Sakharnyi diabet 1 tipa. Rukovodstvo dlya patsientov. — Moscow: GEOTAR-Media, 2021. (In Russ.)] doi: https://doi.org/10.33029/9704-6249-2-DMT1-2021-1-176
20. Issledovatel’skaya gruppa po obucheniyu bol’nykh diabetom Evropeiskoi assotsiatsii po issledovaniyu diabeta. Informatsionnye pis’ma № 1-36. Russkoe izdanie. — M.; 1998-2008. (In Russ.)]
21. Powers MA, Bardsley JK, Cypress M, et al. Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Care. 2020;43(7):1636-1649. doi: https://doi.org/10.2337/dci20-0023
22. Lacroix A, Assal J-Ph. Therapeutic education of patients. New approaches to chronic illness. Paris: Vigot; 2000
23. Tindall LN, Xavier NA. Innovations in Diabetes Device Training: A Scoping Review. Endocrine Practice. 2023;29(10):803-810. doi: https://doi.org/10.1016/j.eprac.2023.05.012
24. Świątoniowska N, Sarzyńska K, Szymańska-Chabowska A, Jankowska-Polańska B. The role of education in type 2 diabetes treatment. Diabetes Res Clin Pract. 2019;151:237-246. doi: https://doi.org/10.1016/j.diabres.2019.04.004
25. Correia JC, Waqas A, Huat TS, et al. Effectiveness of Therapeutic Patient Education Interventions in Obesity and Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients. 2022;14(18):3807. doi: https://doi.org/10.3390/nu14183807
Supplementary files
|
1. Figure 1. Elliott Proctor Joslin (1869–1962). Photo from a public source. | |
Subject | ||
Type | Исследовательские инструменты | |
View
(104KB)
|
Indexing metadata ▾ |
|
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. | |
Subject | ||
Type | Исследовательские инструменты | |
View
(231KB)
|
Indexing metadata ▾ |
|
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. | |
Subject | ||
Type | Исследовательские инструменты | |
View
(463KB)
|
Indexing metadata ▾ |
|
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.). | |
Subject | ||
Type | Исследовательские инструменты | |
View
(354KB)
|
Indexing metadata ▾ |
|
5. Figure 5. The first structured therapeutic education programs for patients with diabetes in the Russian Federation. | |
Subject | ||
Type | Исследовательские инструменты | |
View
(153KB)
|
Indexing metadata ▾ |
|
6. Figure 6. Existing structured education programs. | |
Subject | ||
Type | Исследовательские инструменты | |
View
(198KB)
|
Indexing metadata ▾ |
|
7. Figure 7. Modern educational books for patients with diabetes. | |
Subject | ||
Type | Исследовательские инструменты | |
View
(168KB)
|
Indexing metadata ▾ |
|
8. Figure 8. Patient information leaflets for diabetes management. | |
Subject | ||
Type | Исследовательские инструменты | |
View
(478KB)
|
Indexing metadata ▾ |
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

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0).