Effect of a newly‐devised nutritional guide based on self‐efficacy for patients with type 2 diabetes in Japan over 2 years: 1‐year intervention and 1‐year follow‐up studies

Abstract

Aims/IntroductionWe devised a new system called “Educational Guidance” (E‐Guide) for nutritional education based on self‐efficacy. The present study aimed to examine the effects of E‐Guide use on glycemic control among patients with type 2 diabetes.Materials and MethodsWe carried out an interventional and observational study that included 74 patients with type 2 diabetes. The extent of glycemic control in the 39 patients who received guidance through the E‐Guide (E‐Guide group) was compared with that of 35 patients who received conventional nutritional guidance (control group). We carried out a 1‐year follow‐up survey (subanalysis) based on the electronic health records of 18 patients from the E‐guide group and 19 patients from the control group. These patients continued treatment at Hikone Municipal Hospital, Hikone, Shiga, Japan. Changes in glycated hemoglobin levels, body mass index and medication dose were examined from time of enrollment to the end of the 1‐year intervention, and during the 1‐year follow‐up.ResultsDecreases in glycated hemoglobin levels were more pronounced in the E‐Guide group than in the control group during the intervention period (P < 0.05). The levels further decreased during the follow‐up period (P < 0.01). In the E‐Guide group, body mass index decreased significantly throughout the follow‐up period (P < 0.001). Additionally, increased medication doses were significantly less common in the E‐Guide group than in the control group (P < 0.01).ConclusionsIntervention based on our “E‐Guide” is more useful and powerful than the conventional methods for glycemic control and self‐care behavior among patients with type 2 diabetes in Japan.

Development of a Family Support Scale for Diet Therapy for Male Workers with type 2 diabetes

“…Factor 2 was based on informational and instrumental support, which can be interpreted from the effects of self‐efficacy. A previous study reported that nutritional education based on self‐efficacy improved glycemic control and self‐care behavior among patients with T2DM in Japan (Yamamoto et al, 2017). Factors 3, 4, 5, and 6 were based on instrumental support.…”

Impactos das intervenções educativas nutricionais na qualidade de vida de pacientes com diabetes mellitus tipo 2: uma revisão sistemática

“…No entanto, essa abordagem nutricional é demorada e, em muitos países, há poucos profissionais para atender adequadamente às demandas dos serviços (Segal et al, 2013). Observou-se que os níveis de HbA1c diminuem significativamente e são mantidos durante período de acompanhamento de um ano, quando a educação em diabetes inclui abordagem de empoderamento para o autocuidado, como automonitoramento e metas de ação (Yamamoto et al, 2017). Também se observou que esses níveis reduziram significativamente quanto maior a frequência da educação nutricional (Nakagawa et al, 2014).…”