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 .
Impact of a diabetes control and management intervention on health care utilization in American Samoa
Objectives To examine the impact of a successful 12-month behavioral intervention to improve diabetes control on health care utilization in American Samoa . Methods A cluster-r and omized design was used to assign 268 diabetes patients to a nurse-community health worker intervention or usual care .  Hospitalizations , emergency department , and primary care physician visits were collected retrospectively for 1 year prior to , and during , the intervention to assess changes in health care utilization . The association of utilization changes with change in HbA1c during the intervention was assessed . Results Adjusted incidence rate ratios ( RR ) for primary care physician visits were significantly higher in the community health worker relative to the usual care group ( RR = 1.71 ; 95 % CI , 1.25–2.33 ) . There was no main intervention effect on emergency department utilization , but visits in the prior year modified the intervention effect on emergency department visits . Increased primary care physician utilization was associated with greater decreases in HbA1c ( b = −0.10 , SE = 0.04 , p = 0.01 ) . Conclusions A culturally adapted community health worker diabetes intervention in American Samoa significantly increased primary care physician visits , and decreased emergency department visits among those with high emergency department usage in the prior year . These changes suggest important and beneficial impacts on health system utilization from the diabetes intervention in a low re source and high-risk population
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 .