Blood glucose awareness training

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The blood glucose awareness training (BGAT, english: blood glucose awareness Training ) is a behavioral medical training program that diabetics theoretically sound skills and practical strategies taught to their blood sugar perceive and extreme blood sugar ( hypo - / hyperglycemia forestall) or the frequency and intensity of To decrease situations of extreme blood sugar levels. The training aims in particular to strengthen interoception . It is used in the therapy of long-term type 1 diabetics as well as type 2 diabetics.

The BGAT was developed and evaluated in the USA by the psychology professor Daniel Cox and the psychiatry and neurology professor Linda Gonder-Frederick, based on the work of James Pennebaker , on the basis of a bio-psycho-behavioral model of hypoglycemia perception . The first randomized clinical trial on BGAT appeared in 1988. According to the results of this research, exercise can reduce the incidence of hypoglycaemia and the number of traffic accidents , improve self-assessment and life satisfaction, and change the physiological response to hypoglycaemia.

The training program is used in a medical context to promote health . In Germany, the program was translated and distributed by the University of Lübeck under the direction of psychology professor Gabriele Fehm-Wolfsdorf and has been available since 1997.

The training consists of 8 individual or group sessions of 90 minutes. Patients are given everyday self- observation tasks to be performed between sessions.

Doctors , psychologists and diabetes advisors are trained as BGAT trainers .

Individual evidence

  1. ↑ a b c d Learn to recognize and avoid hypoglycaemia with blood glucose awareness training (BGAT). In: Diabetes Today. German Diabetes Center , accessed on September 14, 2014 .
  2. ↑ Gabriele Fehm-Wolfsdorf: Diabetes mellitus , Higrefe, 2009, ISBN 978-3-8409-1260-3 , p. 81
  3. ↑ Daniel J. Cox, Linda Gonder-Frederick a. a .: Blood Glucose Awareness Training: What Is It, Where Is It, and Where Is It Going ?. In: Diabetes Spectrum. 19, 2006, pp. 43-49, doi : 10.2337 / diaspect.19.1.43 ( full text pdf 104 kB online ).
  4. ↑ Daniel J. Cox, William R. Carter, Linda A. Gonder-Frederick, William L. Clarke, Stephen L. Pohl: Blood glucose discrimination training in insulin-dependent diabetes mellitus (IDDM) patients. In: Biofeedback and Self-Regulation. 13, 1988, pp. 201-217, doi : 10.1007 / BF00999170 .
  5. ↑ a b Hans-Ulrich Häring, Baptist Gallwitz, Dirk Müller-Wieland, Klaus-Henning Usadel, Hellmut Mehnert: Diabetologie in Klinik und Praxis , Thieme, 2011, ISBN 978-3-13-157636-1 , p. 351
  6. ↑ Helmut Kleinwechselter, Ute Schäfer-Graf, Ursula Mäder: The great pregnancy guide for diabetics , Thieme, 2004, ISBN 978-3-8304-3136-7 , p. 42

literature

Web links

bgat.de : Website of the Lübeck Institute for Behavioral Medicine on the BGAT