However , overall there did not appear to be a significant difference between individual education and usual care .
In the small number of studies comparing group and individual education , there was an equal impact on HbA1c at 12 to 18 months .
BACKGROUND Type 2 diabetes is a common and costly chronic disease which is associated with significant premature mortality and morbidity .
Although patient education is an integral component of diabetes care , there remain uncertainties regarding the effectiveness of different methods and modes of education .
OBJECTIVES To evaluate the effectiveness of individual patient education  on metabolic control , diabetes knowledge and psychosocial outcomes .
Strong in body and spirit: lifestyle intervention for Native American adults with diabetes in New Mexico.
OBJECTIVE To determine the effects of a culturally appropriate diabetes lifestyle intervention for Native Americans on risk factors for complications of diabetes .  RESEARCH DESIGN AND METHODS A nonr and omized , community-based diabetes intervention trial was conducted in three Native American sites in New Mexico from 1993 - 1997 . Participants were assigned to intervention or control based on community of residence . Intervention sessions were held approximately 6 weeks apart over approximately 10 months . The intervention was delivered in site A in family and friends ( FF ) groups ( n = 32 ) ; site B received the same intervention in one-on-one ( OO ) appointments ( n = 39 ) ; and site C received usual medical care ( UC ) ( n = 33 ) ( total participants , n = 104 ) . Primary change in HbA(1c ) level was assessed at 1 year . RESULTS Adjusted mean change in HbA(1c ) value varied significantly across the three arms at 1 year ( P = 0.05 ) . The UC arm showed a statistically significant increase in adjusted mean HbA(1c ) change ( 1.2 % , P = 0.001 ) , whereas both intervention arms showed a small nonsignificant ( P > 0.05 ) increase in the adjusted mean change ( 0.5 % and 0.2 % for FF and OO arms , respectively ) . The increase was statistically significantly smaller in the combined intervention arms ( 0.4 % ) compared with the UC arm ( 1.2 % , P = 0.02 ) . CONCLUSIONS Lifestyle intervention has the potential to substantially reduce microvascular complications , mortality , and health care utilization and costs if the change is sustained over time
However , overall there did not appear to be a significant difference between individual education and usual care .
In the small number of studies comparing group and individual education , there was an equal impact on HbA1c at 12 to 18 months .
BACKGROUND Type 2 diabetes is a common and costly chronic disease which is associated with significant premature mortality and morbidity .
Although patient education is an integral component of diabetes care , there remain uncertainties regarding the effectiveness of different methods and modes of education .
OBJECTIVES To evaluate the effectiveness of individual patient education  on metabolic control , diabetes knowledge and psychosocial outcomes .