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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v1i1.2004</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v1i1.2004</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Review Article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Structured Type 1 Diabetes Education Programs – An Unmet Need in Pakistan</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Ahmad</surname>
            <given-names>Farina Z</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Waseem</surname>
            <given-names>Muaaz</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Humayun</surname>
            <given-names>Malik Asif</given-names>
          </name>
          <email>doctormalikasif@gmail.com</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>Milton Keynes University Hospital NHS Foundation Trust, UK</institution>
      </aff>
      <aff id="aff2">
        <institution>2Dorset University Hospitals, UK</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Malik Asif Humayun (doctormalikasif@gmail.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2020-12-16">
        <day>16</day>
        <month>12</month>
        <year>2020</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2020</year>
      </pub-date>
      <volume>1</volume>
      <issue>1</issue>
      <fpage>8</fpage>
      <lpage>11</lpage>
      <history>
        <date date-type="received" iso-8601-date="2020-09-04">
          <day>04</day>
          <month>09</month>
          <year>2020</year>
        </date>
        <date date-type="accepted" iso-8601-date="2020-10-08">
          <day>08</day>
          <month>10</month>
          <year>2020</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2020 The Author(s)</copyright-statement>
        <copyright-year>2020</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v1i1.2004" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v1i1.2004.pdf" content-type="application/pdf"/>
      <abstract>
        <p>Structured type 1 diabetes education aims to teach the key self-management skills of carbohydrate counting and flexible insulin dosing, while developing a full understanding in the patient about type 1 diabetes, the action of basal and bolus insulin, management of illness and about the importance of complication screening to maintain long term health.</p>
        <p>Structured type 1 education courses are not currently available in Pakistan and with the advent of modern technology use in the management of T1 diabetes, we need to train and upskill our people living with T1D. Insulin is the third most dangerous drug on the formulary and it is extremely important to ensure the safe use of this drug by our patients. It is crucial to develop and monitor such training courses in Pakistan.</p>
        <p>We give a brief history and overview of structured type 1 education courses for people living with T1 diabetes.</p>
      </abstract>
    </article-meta>
  </front>
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  <back>
    <ref-list>
      <title>References</title>
      <ref id="ref1">
        <label>1</label>
        <mixed-citation>Mühlhauser I, Jörgens V, Berger M, Graninger W, Gurtler W, Hornke L, et al. Bicentric evaluation of a teaching and treatment programme for type 1 (insulin-dependent) diabetic patients: improvement of metabolic control and other measures of diabetes care for up to 22 months. Diabetologia 1983;25(6):476.</mixed-citation>
      </ref>
      <ref id="ref2">
        <label>2</label>
        <mixed-citation>Everett J, Jenkins E, Kerr D, Cavan DA. Implementation of an effective outpatient intensive education programme for patients with type 1 diabetes. Pract Diab Int. 2003;20(2): 51-5</mixed-citation>
      </ref>
      <ref id="ref3">
        <label>3</label>
        <mixed-citation>Shaban C, Jenkins E, Knott J, Ryder J, Cavan DA. Living with Diabetes: an educational model of care for new-onset diabetes. Prac Diab Int. 2013;30(3):113-7</mixed-citation>
      </ref>
      <ref id="ref4">
        <label>4</label>
        <mixed-citation>O cukrzycy. Diabetes education. [Updated 2020]. [http://diabetes-education.net/index.php?link=philo]</mixed-citation>
      </ref>
      <ref id="ref5">
        <label>5</label>
        <mixed-citation>Ref impact Studies. Managing hypoglycaemia to improve quality of life in people with diabetes. [Updated 2014]. Available from: [http://www.nice.org.uk/nicemedia/live/11496/32610/32610.pdf]</mixed-citation>
      </ref>
      <ref id="ref6">
        <label>6</label>
        <mixed-citation>The global diabetes community. [Updated 2020]. Available from: [http://diabetes-education.net/pdf/t1_centres.xls].</mixed-citation>
      </ref>
      <ref id="ref7">
        <label>7</label>
        <mixed-citation>DAFNE Study Group. Training in flexible, intensive insulin management to enable dietary freedom in people with type 1 diabetes: dose adjustment for normal eating (DAFNE) randomised controlled trial. British Medical Journal 2002;325(7367):746-9.</mixed-citation>
      </ref>
      <ref id="ref8">
        <label>8</label>
        <mixed-citation>Marden S, Thomas PW, Sheppard ZA, Knott J, Lueddeke J, Kerr D. Poor numeracy skills are associated with glycaemic control in type 1 diabetes. 2012; 29 (5): 662.9</mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>
