Effect of simulation education and case management on glycemic control in type 2 diabetes

Abstract

Background The aim of the study was to investigate whether simulation education (SE) and case management had any effect on glycemic control in type 2 diabetes (T2DM) patients. Methods In this single center pilot trial, 100 T2DM patients who received medication and basic diabetes self‐management education (DSME) were randomly divided into a control group ( n = 50) and an experimental group ( n = 50), who received SE and a case management program. Evaluation of biochemical indices was conducted at baseline and after 6 months. DSME consisted of 2‐hour group trainings weekly for 2 consecutive weeks followed by 2 × 30 minute education sessions after 3 and 6 months. The SE program comprised additional 50‐minute video sessions 3 times in the first week and twice in the second week. The experimental group was supervised by a nurse case manager, who followed up participants at least once a month, and who conducted group sessions once every 3 months, focusing on realistic aspects of physical activity and nutrition, with open discussions about setting goals and strategies to overcome barriers. Results After 6 months, HbA1c, fasting plasma glucose, and postprandial blood glucose level improvements were superior in the experimental group compared with the control group ( P < 0.05). Self‐care behavior adherence scores of healthy diet ( P = 0.001), physical activity ( P = 0.043), self‐monitoring of blood glucose ( P < 0.001), and reducing risks ( P < 0.001) were significantly increased in the experimental group compared with the control group. Conclusions Simulation education and case management added to routine DSME effectively improved glycemic control in T2DM patients.

Appropriateness of action prompts for hypoglycaemia and hyperglycaemia in type 2 diabetes self‐management apps

“…Patients may be more willing to use a diabetes app long‐term if the app was well‐designed and decision support is appropriately tailored to offer more valuable insights for better self‐management, eg, prompts take into account patterns of hypoglycaemia and hyperglycaemia. It would also be instructive to investigate the incremental impact of diabetes apps (if any) on patient outcomes by replicating studies focused on face‐to‐face diabetes self‐management education and support, such as the one by Ji et al, and adding an intervention arm which includes a diabetes app with a comprehensive education component and decision support.…”

Effectiveness of a simulation activity on knowledge about glucose monitoring and hypoglycemia management: a pre-post intervention study

“…Also, the use of education associated with simulation has positive effects on the Research, Society and Development, v. 9, n. 11, e92891110700, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i11.10700 glycemic control of patients with diabetes, including the achievement of fasting, postprandial, and glycated hemoglobin targets, improvement in self-care behaviors, adherence to a healthy diet and a physical exercise program, adherence to blood glucose self-monitoring, and reduction of complications resulting from poor disease control (Ji et al, 2019).…”

Hypoglycaemic episodes increase the risk of ventricular arrhythmia and sudden cardiac arrest in patients with type 2 diabetes—A nationwide cohort study

“…Patients possessing risk factors for developing hypoglycaemia or those using insulin or sulfonylurea for glycaemic control need to have their glycaemic levels closely monitored to avoid hypoglycaemia and minimize VA/SCA risks. Implementation of simulation education and case management programme might not only improve glycaemic control but also enhance the awareness of hypoglycaemic symptoms in T2D patients . GLAs with low hypoglycaemia risk should be the preferred choice for patients at high risk of hypoglycaemia .…”