Background: Baker IDI offers both Continuous Subcutaneous Insulin Infusion (CSII) therapy and an intensive insulin therapy group education program called FlexIT for people with type 1 diabetes.

Aim: To compare clinical outcomes, episodes and management of hypoglycaemia, knowledge, behaviours and self-perceived rating of control and confidence in diabetes management between patients undergoing CSII and those attending FlexIT.

Method: Data was collected for CSII and FlexIT at three time points; pre (including background data), post program and 12 months post. Clinical data including HbA1c, weight and BMI was collected via clinical records. Frequency of hypoglycaemia was self-reported. Participants completed a questionnaire on diabetes management knowledge (adapted from the MDRTC Diabetes Knowledge Test1), self-management behaviours, and a rating their confidence (Self-Efficacy Scale²). Time series regression analysis assessed differences between pre, post and 12 month results.

Results; Background data was similar in both groups. No difference in HbA1c, weight, BMI, self reported hypoglycaemia, diabetes self-management knowledge scores and confidence ratings were seen between FlexIT and CSII groups at any time point. No difference was seen in self-management behaviours for adjusting their own insulin doses for high blood glucose levels, carbohydrate counting consistency and monitoring for and managing ketones. CSII patients reported adjusting insulin dose for low blood glucose levels less often post and 12 months post (p=0.039 and 0.010 respectively). Results seen were independent of age and gender.

Conclusion; Patients with type 1 diabetes attending the FlexIT and CSII education programs at Baker IDI showed non-statistically significant different results in clinical measures post program. Self-reported hypoglycaemia and diabetes self management knowledge scores, confidence rating and most self-management behaviours were also comparable. These results may be considered with the staff time demands and technology cost associated with relative programs in deciding on provision of services and patient management.