This systematic review found robust data demonstrating that engagement in diabetes self-management education results in a statistically significant decrease in A1C levels .
PRACTICE IMPLICATION S The data suggest mode of delivery , hours of engagement , and baseline A1C can affect the likelihood of achieving statistically significant and clinical ly meaningful improvement in A1C
OBJECTIVE Assess effect of diabetes self-management education and support methods , providers , duration , and contact time on glycemic control in adults with type 2 diabetes .
An integrated intervention program to control diabetes in overweight Chinese women and men with type 2 diabetes.
This study evaluated a structured and integrated intervention program on diabetes management in individuals with type 2 diabetes in Shanghai , China . Men and women with type 2 diabetes and body mass index > 23 kg/m2 were r and omized into a 24-week , prospect i ve , r and omized clinical trial . The Reference Group ( n=50 ) received diabetes education including diet and physical activity instruction only ; the Intervention Group ( n=100 ) received more intensive intervention , including diabetes education with frequent blood glucose monitoring , nutritional counseling , meal plans with diabetes-specific nutritional meal replacement , and weekly progress up date s with study staff . Major study assessment s were obtained at baseline , and after 12 and /or 24 weeks of intervention . The Intervention Group improved fasting blood glucose , insulin , systolic and diastolic blood pressures compared to Reference Group ( p < 0.05 ) . Importantly , HbA1c was lower ( p < 0.001 ) in the Intervention Group at 12 weeks ( -0.6 + /- 0.1 % ) and 24 weeks ( -0.8 + /- 0.1 % ) . Weight loss was modest , but significant differences were observed between groups ( p < 0.05 ) . Weight change from baseline after 12 and 24 weeks was -2.8 + /- 0.2 % and -3.7 + /- 0.3 % , respectively , in the Intervention Group vs -1.8 + /- 0.4 % and -2.5 + /- 0.4 % in the Reference Group . Additionally , waist and hip circumferences and waist : hip ratio decreased in the Intervention compared to the Reference Group ( p < 0.05 ) . In conclusion , this study demonstrates that Chinese men and women with type 2 diabetes following an integrated intervention program including diabetes education , frequent blood glucose monitoring and daily use of a diabetes-specific meal replacement , can achieve significant improvements in glycemic control and markers of cardiovascular health
This systematic review found robust data demonstrating that engagement in diabetes self-management education results in a statistically significant decrease in A1C levels .
PRACTICE IMPLICATION S The data suggest mode of delivery , hours of engagement , and baseline A1C can affect the likelihood of achieving statistically significant and clinical ly meaningful improvement in A1C
OBJECTIVE Assess effect of diabetes self-management education and support methods , providers , duration , and contact time on glycemic control in adults with type 2 diabetes .