Continued success and evolution of BERTIE; Bournemouth’s Type 1 education programme

Summary

Royal Bournemouth Hospital's BERTIE structured education programme is an appropriate means by which people with type 1 diabetes can learn the knowledge and skills necessary for optimal self-care. Started in 1999, it is run over four weekly sessions. Effectiveness has been measured since its inception by collecting biomedical data and a patient satisfaction questionnaire, with a robust quality assurance programme in place. As a result of continued monitoring of the programme, it has evolved to reflect the needs of patients and improve our outcomes. It has shown sustained biomedical improvement over five years, reduction in emotional distress and reduction in hypoglycaemia and hypoglycaemia awareness. Patients also achieve their self-management goals.

Challenge

People with type 1 diabetes require knowledge and skills to enable them to understand the effects of lifestyle on their diabetes and vice versa, and how they can manipulate their treatment to enable them to lead the lifestyle of their choice while maintaining stable blood glucose control. They also need information on the consequences of poor control of their diabetes so they can make informed choices in setting appropriate personal goals for the management of their diabetes. In 1997, patients with Type 1 diabetes had little knowledge about carbohydrate content of food, insulin dose adjustment, management of hypoglycaemia and hyperglycaemia, and the effect of exercise and other factors on blood glucose levels. There was no structured programme and average HbA1c in 1997 for patients under 40 years was 9.9%. A local survey showed 60% of patients never adjusted their insulin.

Objectives

To provide support to people with diabetes to enable them to develop realistic short term and long-term management goals. To help them acquire the knowledge and skills necessary to achieve those goals.

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QiC Diabetes Finalist 2016
Empowering People with Diabetes – Adults
Continued success and evolution of BERTIE; Bournemouth’s Type 1 education programme
by Bournemouth Diabetes & Endocrine Centre, Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust


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