Effectiveness of Systematic Health Education Model for Type 2 Diabetes Patients

Yong-wen, Zhang; Chu, Lanfang

doi:10.1155/2018/6530607

Cited by 32 publications

(42 citation statements)

References 24 publications

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“…Regarding systolic pressure, there were no significant differences in this study. The study in China showed a decrease of systolic pressure (10.83 mmHg) [20], while this study showed an increase in diastolic pressure (10 mmHg), which may be related to a non-significant increase in BMI. Improvement of living standards, changes in nutrition, and physical inactivity may explain difficulty in reducing BMI.…”

Section: Discussionmentioning

confidence: 52%

“…Several studies have demonstrated how diet education improved patients’ knowledge and helped them adopt healthier behaviors [15,16,17,18,19,20,21,22,23]. In this study, after the education, participants adhered to a recommended diet and meal planning significantly more and had better knowledge regarding foods that increase blood glucose.…”

Section: Discussionmentioning

confidence: 63%

“…The objectives were accomplished through systematic health education in a group provided by health educators every month for over 2 years. The researchers concluded that the systematic health education model is a useful method in the treatment of DM because it contributes to a decrease in HbA1c (educational group −0,95; control group −0.38), and BMI did not change [20]. In this study after 5 education sessions and a long follow up without education the reduction in HbA1c (insulin group −1.0, oral hypoglycemic group −1.3 = −1.15; no control group) is higher but slight.…”

Section: Discussionmentioning

confidence: 99%

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Diet Education as a Success Factor of Glycemia Regulation in Diabetes Patients: A Prospective Study

Gvozdanović

Farčić

Placento

et al. 2019

IJERPH

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Background: The aim of this study was to examine the effect of dietary education on glycemic control in patients with any type of diabetes at four-week and two-year follow-ups. Methods: A two-year prospective study was conducted in three phases: before, four weeks after, and two years after an educational program. The participants were patients diagnosed with diabetes who were receiving insulin or oral hypoglycemics and who attended the Diabetes Clinic of the General County Hospital Našice, Croatia to receive their treatment. The questionnaire and educational program were created for the purpose of this study. Measurements were made (fasting blood glucose, glycated hemoglobin, body mass index, blood pressure, knowledge test) at baseline, four weeks and two years after education. Results: A total of 109 participants took part in the study, of which 56 (51.4%) were on insulin therapy and 53 (48.6%) were on oral therapy, after two years, 78 (72%) subjects were followed up with. There was no control group. At the two-year follow-up, participants with insulin therapy had significantly higher glycated hemoglobin (Mann–Whitney U test, p = 0.035). Significant differences were observed in fasted blood glucose (Friedman’s test, p = 0.001), diastolic pressure (Friedman’s test, P = 0.018), and glycated hemoglobin (Wilcoxon test, p < 0.001) between Phase 1 and Phase 3. Conclusions: Education has a positive effect on adherence to recommended diet and glycemia regulation in diabetes patients after four-week follow-ups. However, after two years, participants showed a decrease in adherence to recommended diet and increased glycemia.

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Diet Education as a Success Factor of Glycemia Regulation in Diabetes Patients: A Prospective Study

Gvozdanović

Farčić

Placento

et al. 2019

IJERPH

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“…Diabetes patients typically have abnormal serum lipids and elevated risk of cardiovascular complications [29]. Previous studies have observed inconsistent effects of diabetes interventions on serum lipids [30, 31–32]. A meta-analysis found that after 12 months of aerobic and resistance training HDL was remarkable higher in the intervention group than in the control group, but the LDL level did not change significantly [33].…”

Section: Discussionmentioning

confidence: 99%

Health literacy and exercise-focused interventions on clinical measurements in Chinese diabetes patients: A cluster randomized controlled trial

et al. 2019

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BackgroundThe diabetes patients in China have low health literacy and low levels of physical activities which may result in the poor glycemic control and other clinical outcomes. This study is designed to evaluate the effectiveness of health literacy and exercise-focused interventions on clinical outcomes among Chinese patients with type 2 diabetes (T2DM).MethodsIn this cluster randomized controlled trial, 799 T2DM patients with the most recent A1c ≥ 7·5% (58 mmol/mol, or fasting glucose level ≥10 mmol/L) were recruited from 35 clinics in 8 communities in Shanghai, China, and randomized into one standard care (control) arm and three intervention arms receiving interventions focused on health literacy, exercise or both. A1c (primary outcome), blood pressure and lipids (secondary outcomes) were measured at baseline, 3-, 6-, 12-months of intervention period and 12-months after completion of the interventions. This trial is registered with the International Standard RCT Number Register, number ISRCTN76130594.FindingsThe three intervention groups had more reductions in A1c than the control group, with 0·90% reduction in the health literacy, 0·83% in the exercise and 0·54% in the comprehensive group at 12-months (p<0·001) and these improvements remained even after a 1-year follow-up period post intervention. The risk of suboptimal A1c (≥7·0% or 53 mmol/mol) was also significantly lower in three intervention groups than control group at each follow-up visit, with adjusted risk ratios (RR) ranging from 0.06 to 0.16. However, the control group has greater reductions in low-density lipoprotein (LDL) than the health literacy group from baseline to 12-months (β=0·55, p<0·0001) and from baseline to 24-months (β=0·62, p<0·0001). A higher risk of abnormal LDL was also observed for the health literacy group at 12-months [adjusted risk ratio (RR): 2·22, 95%CI: 1·11-4·44] and 24-months [adjusted risk ratio (RR): 2·37, 95%CI: 1·16-4·87] compared to the control group. No significant benefits in systolic blood pressure (SBP), diastolic blood pressure (DBP) and low-density lipoprotein (HDL) were observed from the interventions compared to the usual care.InterpretationThe health literacy and exercise interventions result in significant improvements in A1c. However, no significant benefits in blood pressure and lipids control were observed. These effective interventions may have potential of scaling up in China and other countries to help diabetes patients manage their blood glucose levels.FundingThis Study was supported by the China Medical Board (CMB) Open Competition Project (No.13-159) and the Social Science Fund of China National Ministry of Education (No.14YJAZH092).

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“…During the COVID-19 pandemic, regardless of the severity and duration of diabetes, it is very crucial to aware patients about self-care, maintaining weight, reducing intake of saturated fat, quitting alcohol and smoking, increasing physical activity, nutrition counseling, self-monitoring blood glucose, and improving medication adherence [ 20 ]. Considering the mental health issues as a major health concern during the ongoing COVID-19 pandemic, it is indispensable to study how diabetic people are coping with such a major disaster and to appropriately understand their mental health status [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Self care practices and psychological distress among diabetic patients in Manipur during COVID-19: A scenario from the North East

Bala

Srivastava

Potsangbam

et al. 2021

Diabetes & Metabolic Syndrome: Clinical Research & Revi

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Background and aim Uncontrolled diabetes has emerged as one of the major risk factors for mortality in patients with COVID-19. Physical inactivity, alterations in dietary habits, and inability to seek guidance from the physician are some of the contributing factors. This study aims to assess the self-care practices and psychological distress during the pandemic among diabetic patients visiting the institute's OPD. Method A convenient sampling method was used to recruit subjects from a representative clinical sample using validated scales like the Summary of Diabetes Self-Care Activities (SDSCA) and Kessler Psychological Distress Scale (K10). Result The study enrolled a total of 108 subjects with the mean age being 56.3 years. The everyday healthy eating plan was followed by 76.85% (N = 83) subjects and daily physical activity for at least 30 min performed by 50% (54) subjects. Only 12.04% (13) subjects tested their blood sugar and 6.48% (7) respondents checked their feet daily. There was no significant difference found between the SDSCA and psychological distress based on socio-demographic variables. Conclusion Participants in this study typically reported a good level of self-care behavior particularly for diet followed by exercise whereas the self-care behavior was not adequate for foot care and blood-glucose testing. People were not too anxious about COVID-19. This study highlighted the fact that people with diabetes should monitor their blood sugar levels more often along with their foot care.

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Effectiveness of Systematic Health Education Model for Type 2 Diabetes Patients

Cited by 32 publications

References 24 publications

Diet Education as a Success Factor of Glycemia Regulation in Diabetes Patients: A Prospective Study

Diet Education as a Success Factor of Glycemia Regulation in Diabetes Patients: A Prospective Study

Health literacy and exercise-focused interventions on clinical measurements in Chinese diabetes patients: A cluster randomized controlled trial

Self care practices and psychological distress among diabetic patients in Manipur during COVID-19: A scenario from the North East

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