Therapeutic Education of the Patients Diabetics Imprisoned at the Paris Jail

Feasibility of the Therapeutic Education of the Patients Diabetics Imprisoned at the Paris Jail "La Santé" (Maison d'arrêt Paris La Santé)"

A lot of data show that therapeutic education is beneficial for diabetic patients. In the French jails, there are very few programs of therapeutic education while this population is usually precarious with no access at care sector before the jail.

The purpose of this study is to determinate if the therapeutic education of the diabetic patients is possible in the Paris jail "La Santé".

The Paris jail "La Santé" welcomes 600 men who stay 5 month on average. Each year, there are between 30 to 40 diabetic patients. In the jail there's a sanitary unit who is a unit of internal medicine of Cochin hospital. This unit includes nurses, pharmacists and medical doctors.

We propose to include in this study all diabetic patients (type 1 and 2) with the realization of a consultation of educational diagnosis, followed by the participation for every patient to 4 educational collective workshops therapeutic (knowledge of the disease, food, physical Activity and care of feet, the therapeutics)

Inclusion Criteria:

• Male patient detained in the MAPLS of more than 18 years
• Patient prisoner in the MAPLS for more than 15 days
• Patient follow-up for a diabetes of type 1 or type 2
• Patient informed about the study and not having opposed to this one
• Patient taken out of the disciplinary district which had previously been included for this motive

Exclusion Criteria:

• Patient considered incapable by the investigator to follow an ETP program
• Patient having a bad understanding of the spoken French language
• Patient whose duration of confinement known about the MAPLS is strictly lower than 1 month in the inclusion during the year 2013/2014
• Patient prisoner in the district of isolation
• Patient prisoner in the disciplinary district in the inclusion
• Patient prohibition to communicate with another prisoner already registered on the session to come