RESUMEN
AIMS: Bournemouth Type 1 Intensive Education (BERTIE) is a structured education course delivered 1â¯day a week for 4â¯weeks for self-management of type 1 diabetes. BERTIE outcomes were analysed to assess long-term effectiveness: primary outcome assessed impact of BERTIE on glycaemic control, secondary outcomes assessed impact on Problem Area in Diabetes (PAID) scale, severe hypoglycaemia and diabetic ketoacidosis incidence (DKA). METHODS: Prospectively collected outcome data from attendees included glycated haemoglobin (HbA1c), PAID, severe hypoglycaemia and DKA incidence recorded pre-course, 6â¯months and 1â¯year post-attendance, with HbA1c assessed annually at subsequent clinic visits. RESULTS: Between 1999 and 2015, 524 people attended BERTIE with 5â¯year follow-up in 316 (60.3%) attendees. HbA1c was reduced from 74⯱â¯17â¯mmol/mol (8.9⯱â¯1.6%) at baseline to 71⯱â¯15â¯mmol/mol (8.6⯱â¯1.4%) at 1â¯year and 70⯱â¯15â¯mmol/mol (8.6⯱â¯1.3%) at 5â¯years (pâ¯<â¯0.0001); severe hypoglycaemia incidence reduced from 0.8⯱â¯2.1 to 0.4⯱â¯2.2 episodes/person/year at 1â¯year (pâ¯<â¯0.0001); PAID scale reduced from 23⯱â¯16 to 15⯱â¯12 (pâ¯<â¯0.0001) at 1â¯year; DKA incidence was 0.06⯱â¯0.34 episodes/person/year pre-course and 0.03⯱â¯0.21 at 1â¯year (pâ¯=â¯0.5271). CONCLUSIONS: BERTIE outcome data demonstrate favorable biochemical and psychological outcomes supporting recommendations that structured education be provided to adults with type 1 diabetes.