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 .
Culturally Competent Diabetes Education
Purpose The purpose of this study was to test effects of a culturally competent , dietary self-management intervention on physiological outcomes and dietary behaviors for African Americans with type 2 diabetes . Methods A longitudinal experimental study was conducted in rural South Carolina with a sample of 97 adult African Americans with type 2 diabetes who were r and omly assigned to either usual care or the intervention . The intervention consisted of 4 weekly classes in low-fat dietary strategies , 5 monthly peer-professional group discussion s , and weekly telephone follow-up . The culturally competent approach reflected the ethnic beliefs , values , customs , food preferences , language , learning methods , and health care practice s of southern African Americans . Results Body mass index and dietary fat behaviors were significantly lowered in the experimental group . At 6 months , weight decreased 1.8 kg ( 4 lb ) for the experimental group and increased 1.9 kg ( 4.2 lb ) for the control group , a net difference of 3.7 kg ( 8.2 lb ) . The experimental group reduced high-fat dietary habits to moderate while high-fat dietary habits of the control group remained essentially unchanged . A trend in reduction of A1C and lipids was observed . Conclusions Results suggest the effectiveness of a culturally competent dietary self-management intervention in improving health outcomes for southern African Americans , especially those at risk due to high-fat diets and body mass index ≥ 35 kg/mm2 . Given the burgeoning problem of obesity in South Carolina and the nation , the time has come to focus on aggressive weight management . Diabetes educators are in pivotal positions to assume leadership in achieving this goal for vulnerable , rural population
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 .