A preliminary study on diabetes self-management education and glycemic control among patients with diabetes mellitus

Kisokanth, G; Indrakumar, J.; Prathapan, Shamini; Joseph, Jennifer; I.M.P.S., Ilankoon

doi:10.5430/jnep.v9n9p98

Cited by 3 publications

(2 citation statements)

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“…This is in agreement with the results of the present study. In confirmation of the results of this study, Kisokanth et al (2019) showed that self-care education in diabetic patients improved the FBS and BMI status of the patients in the intervention group compared to the pre-intervention group [94]. According to the results of this study, the study of Jiang et al (2019), WILMOTH (2019), showed that self-care education in diabetic patients improved weight, waist circumference and quality of life in diabetic patients [95, 96].…”

Section: Discussionsupporting

confidence: 80%

The effect of self-management education through weblogs on the quality of life of diabetic patients

Rasoul

Jalali

Abdi

et al. 2019

BMC Med Inform Decis Mak

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BackgroundSelf-management education of diabetes which is one of the most important noncommunicable diseases worldwide involves facilitating knowledge, skills, and ability required for self-care in these patients. Concerning the progressive growth of use of Internet for educating patients and absence of different studies about education through use of weblogs in patients with diabetes in Iran, the present study was conducted with the aim of determining the effect of self-management education through weblogs on the quality of life of affect the patients.MethodsThis study was performed as intervention on patients referring to diabetes clinic of Talghani hospital in Kermanshah in winter 2018 and spring 2019. The samples consisted of 98 patients with diabetes chosen through available sampling and randomly assigned into study and control groups. For data collection, diabetes quality of life (DQOL) short form clinical questionnaire, Persian version, was used. The intervention involved training self-management conducted through 60 sessions via a designed weblog. The obtained information was introduced into SPSS 21, and analyzed through Mann-Whitney, t-test, and paired t-test.ResultsAccording to the results of this study, the mean age of the examined patients was 32.1 ± 4.9 years, where the major participants were male (n = 52 in the test group, 52.5%). The results showed that after the intervention, the test and control groups were different in terms of anthropometric variables and metabolic indicators; the mean waist circumference in the test and control groups was 98.6 ± 9.8 and 101.5 ± 7.8, respectively; the mean FBS following the intervention in the test and control groups was 131.08 ± 16.04 and 238.2 ± 40, respectively; and the mean BMI postintervention in the test and control groups was obtained as 27.3 ± 3.4 and 30.1 ± 3.8 respectively, where these differences were significant according to independent t-test (p < 0.05). The mean score of quality of life postintervention in the test and control groups was obtained as 56.1 and 49.9 respectively; according to Mann-Whitney test, the difference between the two groups was significant (p < 0.05).ConclusionThe results of the present study revealed the positive effect of weblog based self-management on the quality of life of patients with diabetes following the intervention. Further, reduced levels of FBS, BMI, as well as systolic and diastolic blood pressure were also observed, which could be due to increased awareness of patients about their abilities, its risks, as well as the ways to control and treat it.

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Section: Discussionsupporting

confidence: 80%

The effect of self-management education through weblogs on the quality of life of diabetic patients

Rasoul

Jalali

Abdi

et al. 2019

BMC Med Inform Decis Mak

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“…Благодаря многочисленным исследованиям достоверно установлено, что программы терапевтического ведения, включающие структурированное обучение регулярному СКГ (самостоятельная адаптация дозы инсулина, распорядок дня и режим питания, основанный на системе подсчета хлебных единиц -ХЕ, и др. ), приводят к лучшему снижению HbA 1c у пациентов с СД по сравнению с программами без самоконтроля или в которых СКГ носит общий подход без индивидуального обучения пациентов СКГ [28][29][30][31][32].…”

Section: ïàðàìåòðû è ïóòè îñóùåñòâëåíèÿ ãëèêåìè÷åñêîãî êîíòðîëÿunclassified

Insulin therapy is a personalized approach to glycemic management in diabetes

Demidova

Titova

2020

Terapevticheskii arkhiv

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Type 2 diabetes is characterized by chronic hyperglycemia and varying degrees of insulin resistance and insulinopenia. Achieving targeted glycemic control in diabetic patients is important to reduce the risk of late complications, and many patients with type 2 diabetes ultimately require insulin therapy to maintain adequate glycemic control. Timely administration of insulin can prevent the progression of diabetes, reduce the development of complications, and have fewer side effects. Basal insulin is the preferred option in most cases when glycemic control is not achieved. However, there is considerable therapeutic inertia in clinical practice, both with respect to initiation of insulin therapy and titration of the basal insulin dose. The longer duration of action, reduced glucose variability and a lower risk of hypoglycemia seen with the latest generation of basal insulin analogs compared to the previous generation simplify titration and may increase patient compliance.

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Clinical evaluation of the implementation of the first pilot Russian integrated program for an integrated approach to the management of diabetes mellitus “NORMA”

Galstyan¹,

Mayorov²,

Mel'nikova

et al. 2023

Diabetes mellitus

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BACKGROUND: Despite progress in the treatment of patients with diabetes mellitus (DM), the problem of achieving target values of glycemic control remains relevant. In this regard, the search for new integrated solutions that could strengthen disease control and improve clinical outcomes becomes relevant.AIM: To assess the impact of the developed integrated approach to disease management on the clinical and metabolic outcomes of patients with type 1 (T1DM) and type 2 diabetes mellitus (T2DM) participating in the “NORMA” pilot program for 3 and 6 months.MATERIALS AND METHODS: “NORMA” is the first Russian program designed to implement an integrated approach to DM management combines structured online education, blood glucose monitoring, supervision by endocrinologist, and administrative support. Interium retrospective analysis analysis of pre-existing data generated in the Program was performed from October 2020 to November 2021. Adults (≥18 years) with uncontrolled T1DM or T2DM on insulin (HbA1c>7,0%) with duration of DM ≥6 months were included. The following characteristics were considered: social-demographic parameters, duration of DM, complications, HbA1c, hypoglycemia events, daily insulin dose, patients’ perception of DM checklist (scaled 1-10), level of DM knowledge (questionnaire of 20 points).RESULTS: Data from 185 persons were analyzed: 132 with T1DM and 53 with T2DM, 67% women, the mean age was 41.3±14.4 years; the median DM duration was 12.0 [6.0; 19.0] years, 30 persons (16.3%) were free of any DM complications. Mean HbA1c decreased from 8.8±1.5% to 7.4±1.2% at month 3, and to 7.6±1.5% at month 6 (p<0.001). HbA1c <7.0% was achieved in 38.9% and 38.1% participants after 3 and 6 months, respectively. The total insulin dose has not changed within the program. The DM knowledge level after 3 months of Program increased significantly by 25.4±15.0% (p<0.001). The mean scores of patients’ perceptions of DM after 3 and 6 months increased by 2.1±10.2 % and 2.4±11.0 % (p<0.01), but the median scores (interquartile range) did not change: 0.00% (-3.00–6.00%) and 0.50% (-3.00–9.00%) respectively.CONCLUSION: In a real-life setting, the implementation of an integrated approach to the diabetes management was associated with the improvement of glycemic control without significant changes of total insulin dose.

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A preliminary study on diabetes self-management education and glycemic control among patients with diabetes mellitus

Cited by 3 publications

References 24 publications

The effect of self-management education through weblogs on the quality of life of diabetic patients

The effect of self-management education through weblogs on the quality of life of diabetic patients

Insulin therapy is a personalized approach to glycemic management in diabetes

Clinical evaluation of the implementation of the first pilot Russian integrated program for an integrated approach to the management of diabetes mellitus “NORMA”

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