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 .
Leveling the field: addressing health disparities through diabetes disease management.
OBJECTIVES To examine the relationships among patient characteristics , labor inputs , and improvement in glycosylated hemoglobin ( A1C ) level in a successful primary care-based diabetes disease management program ( DDMP ) . STUDY DESIGN We performed subanalyses to examine the relationships among patient characteristics , labor inputs , and improvement in A1C level within a r and omized controlled trial .  Control patients  received usual care , while  intervention patients received usual care plus a comprehensive DDMP . METHODS The primary outcome was improvement in A1C level over 12 months stratified by intervention status and patient characteristics . Process outcomes included the number of actions or contacts with patients , time spent with patients , and number of glucose medication titrations or additions . RESULTS One hundred ninety-three of 217 enrolled patients ( 88.9 % ) had complete 12-month followup data . Patients in the intervention group had significantly greater improvement in A1C level than the control group ( -2.1 % vs -1.2 % , P = .007 ) . In multivariate analysis , no significant differences were observed in improvement in A1C level when stratified by age , race/ethnicity , income , or insurance status , and no interaction effect was observed between any covariate and intervention status . Among intervention patients , we observed similar labor inputs regardless of age , race/ethnicity , sex , education , or whether goal A1C level was achieved . CONCLUSIONS Among intervention patients in a successful DDMP , improvement in A1C level was achieved regardless of age , race/ethnicity , sex , income , education , or insurance status . Labor inputs were similar regardless of age , race/ethnicity , sex , or education and may reflect the nondiscriminatory nature of providing algorithm-based disease management care
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 .