Conclusions The available evidence suggests that diabetes self-management education can reduce all-cause mortality risk in type 2 diabetes patients .
Background Diabetes self-management education is an essential part of diabetes care , but its impact on all-cause mortality risk of type 2 diabetes patients is unclear .
A systematic review and meta- analysis aim ing to eluci date the impact of diabetes self-management education on all-cause mortality risk of type 2 diabetes patients was performed .
Living Well With Diabetes: 24-Month Outcomes From a Randomized Trial of Telephone-Delivered Weight Loss and Physical Activity Intervention to Improve Glycemic Control
OBJECTIVE To evaluate the effectiveness of a telephone-delivered behavioral weight loss and physical activity intervention targeting Australian primary care patients with type 2 diabetes . RESEARCH DESIGN AND METHODS Pragmatic r and omized controlled trial of  telephone counseling ( n = 151 ) versus usual care ( n = 151 ) . Reported here are 18-month ( end-of-intervention ) and 24-month ( maintenance ) primary outcomes of weight , moderate-to-vigorous-intensity physical activity ( MVPA ; via accelerometer ) , and HbA1c level . Secondary outcomes include dietary energy intake and diet quality , waist circumference , lipid levels , and blood pressure . Data were analyzed via adjusted linear mixed models with multiple imputation of missing data . RESULTS Relative to usual-care participants , telephone counseling participants achieved modest , but significant , improvements in weight loss ( relative rate [ RR ] −1.42 % of baseline body weight [ 95 % CI −2.54 to −0.30 % of baseline body weight ] ) , MVPA ( RR 1.42 [ 95 % CI 1.06–1.90 ] ) , diet quality ( 2.72 [ 95 % CI 0.55–4.89 ] ) , and waist circumference ( −1.84 cm [ 95 % CI −3.16 to −0.51 cm ] ) , but not in HbA1c level ( RR 0.99 [ 95 % CI 0.96–1.02 ] ) , or other cardio-metabolic markers . None of the outcomes showed a significant change/deterioration over the maintenance period . However , only the intervention effect for MVPA remained statistically significant at 24 months . CONCLUSIONS The modest improvements in weight loss and behavior change , but the lack of changes in cardio-metabolic markers , may limit the utility , scalability , and sustainability of such an approach
Conclusions The available evidence suggests that diabetes self-management education can reduce all-cause mortality risk in type 2 diabetes patients .
Background Diabetes self-management education is an essential part of diabetes care , but its impact on all-cause mortality risk of type 2 diabetes patients is unclear .
A systematic review and meta- analysis aim ing to eluci date the impact of diabetes self-management education on all-cause mortality risk of type 2 diabetes patients was performed .