Long-term cost benefits

An economic analysis performed by York Health Economics consortium (YHEC)1 revealed that DAFNE would pay for itself within 4-5 years due to the reduced complication rate expected due to improved glycaemic control. A lay summary of this published economics paper is available below.

Download - Shearer Lay Summary

Audit outcomes

Audit of both local and national DAFNE outcome data2 have been performed demonstrating significant improvement in glycaemic control, with a reduction in incidence of severe hypoglycaemia, diabetic ketoacidosis and prevalence of impaired hypoglycaemia awareness.3 The reduction in acute events provides short-term financial gains, particularly in reduced paramedic call-out and admissions.4 Furthermore, the audit showed significantly improved anxiety and depression scores.5

Access to high quality curriculum and specifically developed teaching aids

These are regularly updated (minimum every 3 years) to ensure up to date evidence based information is being passed onto patients in the most effective way. DAFNE centres receive a free copy of all updated educator resources free of charge.

Support from the DAFNE central administration office

A diabetes unit that offers DAFNE becomes a member of the DAFNE Collaborative and benefits from a national infrastructure and receives support from the Central DAFNE admin office. Further details of this support can be found on page 2 of DAFNE Fact Sheet Three and in Fact Sheet Ten.

  1. Shearer A, Bagust A, Sanderson D, Heller S, Roberts S. Cost-effectiveness of flexible intensive insulin management to enable dietary freedom in people with Type 1 diabetes in the UK. Diabetic Medicine 2004; 21 (5):460-67
  2. Mansell P, Clarke P, Pownall N, et al. Dose adjustment for normal eating (DAFNE) education programme. Improvements in HbA1c maintained for two years. Diabetic Medicine 2005; 22 (Suppl.2) : 7
  3. Lawrence IG, Hopkins D, Mansell P, et al. DAFNE training delivered in routine clinical practice is associated with improved glycaemic control and a reduction in severe hypoglycaemia. Diabetic Medicine 2008; 25 (1) P115: 72
  4. National Diabetes Support Team. Improving emergency and inpatient care for people with diabetes: Report of a working party or representatives of the inpatient and emergency care community with the National Institute for Innovation and Improvement: March 2008
  5. Hopkins D, Lawrence IG, Mansell P, et al. DAFNE training delivered in routine clinical practice is associated with significant improvements in measure of quality of life and psychological distress. Diabetic Medicine 2008; 25 (1) A47: 16

Last Updated: 04/11/2011