The Intensive Insulin Therapy Team

Abstract

The use of a team approach to the management of patients using intensive insulin therapy (IIT) has been supported by policy/position statements of both the American Association of Diabetes Educators and the American Diabetes Association. A course designed and taught by a health care team within the Washington University Diabetes Research and Training Center was offered to 18 multidisciplinary health care teams desiring information about initiating IIT programs. Course outcomes demonstrated positive responses to the team approach to team education but raised questions about the actual compo sition and functioning of the health care "team." While a well- defined team with IIT knowledge and skills is essential for the development of a comprehensive and safe approach to IIT programs, it is not clear who should be offering these programs.

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References

Zimbelman, LK A team approach: considerations in developing diabetes care teams. Diabetes Educ 1988; 14:113-16.

DCCT Research Group. Are continuing studies of metabolic control and microvascular complications in IDDM justified? The Diabetes Control and Complications Trial (DCCT). N Engl J Med 1988;318:246-50.

American Association of Diabetes Educators. Education for continuous subcutaneous insulin infusion pump users [Position Statement]. Diabetes Educ 1987;13:10.

Quality recognition for diabetes patient education programs. Review criteria for national standards from the American Diabetes Association . Diabetes Care 1986;9:xxxvi-xl.

Schade DS , Santiago JV , Skyler JS , Rizza RA Intensive insulin therapy. Princeton, New Jersey : Excerpta Medica, 1983.

Georgopoulos BS Patient-care, medical care, and health-care teams: organization research on health institutions. Ann Arbor: Institute for Social Research, The University of Michigan, 1972:308-13.

Warren-Boulton E. , et al. A group approach to management of diabetes in adolescents and young adults. Diabetes Care 1981;4:620-23.

Anderson RM The team approach to diabetes: an idea whose time has come. Occup Health Nurs 1982;30:13-14.

Mazze RM Diabetes education teams. In: Professional education in diabetes . Bethesda, Maryland: National Diabetes Information Clearing-house and National Institutes of Health, 1980:45-74.

10.

Rainwater NG , Giordano BP

Professional education... fostering a team approach?

Diabetes Educ 1986; 12:240.

11.

Mazze RS , Engel S. Innovations in professional education: the model demonstration unit . Diabetes Educ 1986;12:194-99.