A Structured Educational Program Improves Metabolic Control in Patients With Type 2 Diabetes

Abstract

A structured education group program centered in self-management improves the glycemic control in patients with type 2 diabetes, reaching the peak effect at 4 months, and lasting for up to 12 months.

Diabetes education in primary care: a randomized clinical trial

“…Our group had reported similar results in a previous study 9 . The current study was able to show that this approach was effective, regardless of the group (well-controlled not on insulin vs. uncontrolled, including insulin users), health care setting (primary vs. tertiary care), or the type of diabetes mellitus educator in charge (CDE vs. trained primary care generalist nurse).…”

“…Diabetes knowledge was measured with a 22-item questionnaire addressing the information discussed in the meetings, and will be referred to here as type 2 diabetes mellitus knowledge score. This score correlated with improvements in HbA1c in a previous study 9 . Individuals with higher scores are considered to have more knowledge of diabetes mellitus.…”

“…We have previously demonstrated the efficacy of a group-based education program 8 administered by a nurse CDE in a tertiary care university hospital 9 . In 4 months, HbA1c decreased 0.4% in non-insulin-using type 2 diabetes mellitus patients, but the benefit tended to decrease later, even though it was still significantly different at 12 months.…”

Acurácia das intervenções de enfermagem para pacientes com diabetes mellitus tipo 2 em consulta ambulatorial

“…(3,4,12,14) In the nursing consultations, the most frequent NDs were those of the "Health Promotion" domain, whose focus on care is the maintenance of metabolic control with emphasis on health education.…”

“…The education of diabetes is an essential tool in treating patients with this chronic pathology. (12) Education for self-care for the patient with DM2 consists of a process of teaching about management of the disease and a focus on nursing consultation. (3)(4)(5) The objectives of education on DM2 are: implement metabolic control, prevent acute and chronic complications, and provide quality of life with lower costs (13) .…”