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 .
A preliminary report on an assessment of a community-based intervention for diabetes control in adults with type 2 diabetes.
OBJECTIVE The aim of this study was to evaluate the effectiveness of lay diabetes facilitators ( LDFs ) to increase knowledge and improve control among persons with diabetes . Methodology . A prospect i ve cohort study was conducted among persons with diabetes in 16 health care centres in Jamaica to evaluate the effect of LDFs on glycaemia [ haemoglobin A1c ( HbA1c ) ] and body mass index ( BMI ) .  One hundred and fifty-nine persons with diabetes were recruited for the intervention from eight clinical setting s in which LDFs had been recruited and trained . A matched group of 159 were recruited as a comparison sample from eight clinical setting s without LDFs .  HbA1c and BMI were measured at baseline and 6 months . RESULTS Mean HbA1c at baseline for the intervention and comparison groups were 7.9 % and 8 % , respectively . After 6 months , the intervention group showed a mean decrease of 0.6 % while the comparison group showed an increase of 0.6 % , significant after control for potential confounders ( P < 0.05 ) . There was no statistically significant change in BMI between groups . CONCLUSION Patients educated by LDFs showed improved metabolic control over the first 6 months of observation
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 .