Effect on Glycemic, Blood Pressure, and Lipid Control according to Education Types

Abstract

BackgroundDiabetes self-management education and reinforcement are important for effective management of the disease. We investigated the effectiveness of interactive small-group education on glycemic, blood pressure, and lipid levels.MethodsFor this study, 207 type 2 diabetes patients with suboptimal glycemic control (HbA1c levels >6.5%) were enrolled. The conventional education group received an existing education program from April to November in 2006, and the interactive education group received a new small-group education program from December 2006 to July 2007. The two groups were comparatively analyzed for changes in blood sugar, glycated hemoglobin, lipid, and blood pressure at baseline, 3, 6, and 12 months and the proportion of patients achieving target goals at 12 months.ResultsAfter 12 months of follow-up, HbA1c levels in the interactive education group were significantly lower than in the conventional education group (6.7% vs. 6.4%, P<0.001). Fasting and 2 hour postprandial glucose concentrations, total cholesterol, and low density lipoprotein cholesterol were significantly lower in the interactive education group than in the conventional education group. The proportion of patients that achieved target goals was significantly higher in the interactive education group.ConclusionThe small-group educational method improved and re-established the existing group educational method. This finding suggests that the importance of education appears to be related to the method by which it is received rather than the education itself. Thus, the use of small-group educational methods to supplement existing educational methods established for diverse age levels should be considered in the future.

Education as Prescription for Patients with Type 2 Diabetes Mellitus: Compliance and Efficacy in Clinical Practice

“…Another problem is that we failed to show the efficacy of either intensive education or follow-up education. It has been reported that the type of education can cause differences in diabetes control [16]. This discrepancy should be reevaluated in a larger study.…”

Impact of ENPP1 K121Q on Change of Insulin Resistance after Web-Based Intervention in Korean Men with Diabetes and Impaired Fasting Glucose

“…The reasons for this discrepancy may be due to the following differences: 1) intervention type and period (6 weeks, man to man intervention, vs. 10 months, web-based intervention); 2) ethnicity; 3) characteristic of subjects (non-diabetic overweight-obese adults, vs. men with IFG and T2DM); 4) confounding factors (not include dietary change, vs. include dietary change). Intervention type and contact frequency reportedly influence the response to a lifestyle intervention ( 38 , 39 ). Although data are not shown, BMI were more decreased in the intervention group subjects with T2DM (-0.28 kg/m 2 ) when compared to intervention group subjects with IFG (-0.06 kg/m 2 ) ( P =0.039).…”

Diabetes Camp as Continuing Education for Diabetes Self-Management in Middle-Aged and Elderly People with Type 2 Diabetes Mellitus

“…DSME is an established tool for improving clinical outcomes, such as for insulin use and self-care performance [1], metabolic outcome (glycemic control or lipid control) [234], rate of chronic complications [1], and degree of depressive symptoms [5]. …”

“…With the global increase in the proportion of the elderly population, clinical management catering to the elderly with diabetes has become increasingly important not only for pharmacologic management but also for diabetes self-management education (DSME). DSME is an established tool for improving clinical outcomes, such as for insulin use and self-care performance [ 1 ], metabolic outcome (glycemic control or lipid control) [ 2 3 4 ], rate of chronic complications [ 1 ], and degree of depressive symptoms [ 5 ].…”