Type 1 diabetes and alcohol consumption: The development of an intervention to minimise acute glucose complications Jacqui Charlton Lecturer/Specialist.

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Presentation transcript:

Type 1 diabetes and alcohol consumption: The development of an intervention to minimise acute glucose complications Jacqui Charlton Lecturer/Specialist Nurse in diabetes Edinburgh Napier University/NHS Lothian

Background Erratic glucose control with major risk of severe hypoglycaemia and hyperglycaemia. Patient feedback from Western General Hospital, Edinburgh. Personal experience. Some qualitative research regarding experiences and attitudes. British Diabetic Association guidelines (1987). Design an intervention for young people with type 1 diabetes to consume alcohol safely

Literature search Search One: Type 1 diabetes, alcohol, self-care, patient education. Challenges Effects on blood glucose control Self-care strategies to prevent hyper and hypoglycaemia Influential factors: Social and psychological determinants, type and amount of alcohol consumed Key components of an intervention Search Two: Alcohol, health education, health interventions for young people. Effectiveness of general health intervention types for young people Barriers and facilitators for the implementation of inverventions

Literature review (all time periods) Search 1 n = 1124 ASSIA (30) CINAHL (65) Cochrane (9) Embase (666) Medline (143) PsychInfo (21) Pubmed (190) Search 2 n = 4571 ASSIA (0) CINAHL (771) Cochrane (1) Embase (302) Medline (2867) PsychInfo (47) Pubmed (583) Records screened Search 1 = 257 Search 2 = 77 Records excluded Search 1 = 867 Search 2 = 4494 Full-text articles assessed for eligibility Search 1 = 111 Search 2 = 66 Studies included in qualitative synthesis (n = ) Records after duplicates removed Search 1 = 111 Search 2 = 66

Methods: Stage 1: Narrative review of the evidence. Stage 2: Expert user group of 6-10 people with type 1 with experience. Stage 3: Semi-structured interviews with a purposive sample of experts: young people diagnosed with T1, and one significant other (family or friend), and diabetes health care professionals. Stage 4: Extract components to design an intervention from the data provided by the narrative review and semi-structured interviews. Stage 5: A feasibility study of 10 young people with T1 aged years using the intervention.

The future… Open mind! Patients are very enthusiastic and already want to be recruited. HCP support across Lothian. Interest from Diabetes UK Edinburgh branch and T1DUKiT (Scotland).