This arm of the study involves health care professionals e-learning training in and delivery of EUC for the detection and management of diabetes distress.

Enhanced Usual Care intervention aims to train health care professionals to detect and prevent, and manage diabetes distress in routine diabetes care, in the UK NHS. The REDUCE programme aims to prevent and manage elevated diabetes distress.

D-stress study: The detection, prevention and management of diabetes distress for adults living with type 1 diabetes.

REDUCE intervention is an online group 6 session programme for the management of elevated diabetes distress.

Guy's and St Thomas' NHS Foundation Trust

The intervention group will have immediate access to the SUPPORT platform.

All participants accepting the SUPPORT study will receive the full intervention for 6 months. Their learning is individualized depending on the way they take their insulin (injection or pump) and the way they measure their blood sugar (finger prick or continuous glucose monitoring).

The training program starts with mandatory module on hypoglycemia. Once completed, participants will unlock all level 1 (out of 3 levels) modules from the 6 categories (medication, blood sugar monitoring, nutrition, physical activity, hypo- and hyperglycemia, health and other situations). The platform contains functionalities such as discussion forum, quizzes, videos, downloadable forms, etc. During the first 6 months, participants will receive a bi-weekly newsletter to inform them about what's new on the platform.

SUPPORT online platform for people with type 1 diabetes

In Type 1 Together, families will work with other families who have experience using CGM (Peer Mentors) to overcome common barriers to CGM use. Families in the Type 1 Together program will also have access to CGM-specific educational materials, a digital journal to facilitate patient-provider communication around issues with CGM, and social determinant of health screening and intervention with a diabetes community health worker.

Type 1 Together

Quarterly clinic visits with endocrinology provider.

Standard of Care

Our FBT curriculum, which has been delivered successfully in the specialty and primary care settings, has 3 components: 1. Meal planning including quality of carbohydrates and glycemic index for both parents and children while ensuring that youth have a balanced meal plan with adequate amounts of carbohydrates for optimal growth. Our FBT has a focus on "Food Literacy" including healthy food selection and sourcing of affordable healthy food, food preparation and preplanning, social engagement tailoring the meal plan to the needs to the family in socio cultural appropriate way and also feasibility based on logistics and economic aspects; 2. Physical activity (PA) component with shaping strategy to allow for a progressive shaping of easy PA starting, if needed, with as little as with 10 minutes of walking/day and strategies to incorporate PA in daily routines, family, and social activities; 3. Extensive behavioral component which has been shown to be very powerful in obesity treatment

D-스트레스 연구: 1형 당뇨병을 앓고 있는 성인을 대상으로 당뇨병의 진단, 예방 및 관리에 관한 연구입니다.

1형 당뇨병 환자를 위한 온라인 플랫폼 지원

표준 치료, 1형 함께

1형 당뇨병에 대한 가족 기반 치료