There was no evidence of improvement in depression , quality of life , blood pressure , serum lipids , or weight .
There was no evidence of significant adverse effects .
CONCLUSIONS Computer-based diabetes self-management interventions to manage type 2 diabetes appear to have a small beneficial effect on blood glucose control , and this effect was larger in the mobile phone subgroup .
There was no evidence of benefit for other biological , cognitive , behavioral , or emotional outcomes
OBJECTIVE Structured patient education programs can reduce the risk of diabetes-related complications .
However , people appear to have difficulties attending face-to-face education and alternatives are needed .
This review looked at the impact of computer-based diabetes self-management interventions on health status , cardiovascular risk factors , and quality of life of adults with type 2 diabetes .
Clinic-based support to help overweight patients with type 2 diabetes increase physical activity and lose weight.
BACKGROUND Our objective was to test the effect of physicians providing brief health lifestyle counseling to patients with type 2 diabetes mellitus during usual care visits . METHODS We conducted a r and omized controlled trial of a 12-month intervention at 2 large community health centers , enrolling 310 patients with a body mass index ( calculated as weight in kilograms divided by height in meters squared ) of 25 or greater . In the intervention group , self-management goals for nutrition and physical activity were set using a tailored computer program . Goals were then review ed at each clinic visit by physicians . The control group received only printed health education material s. The main outcome measures included change in physical activity and body weight . RESULTS In the intervention group , recommended levels of physical activity increased from 26 % at baseline to 53 % at 12 months ( P < .001 ) compared with controls ( 30 % to 37 % ; P= .27 ) , and 32 % of patients in the intervention group lost 6 or more pounds at 12 months compared with 18.9 % of controls ( odds ratio , 2.2 ; P= .006 ) . CONCLUSION A brief intervention to increase the dialogue between patients and health care providers about behavioral goals can lead to increased physical activity and weight loss
There was no evidence of improvement in depression , quality of life , blood pressure , serum lipids , or weight .
There was no evidence of significant adverse effects .
CONCLUSIONS Computer-based diabetes self-management interventions to manage type 2 diabetes appear to have a small beneficial effect on blood glucose control , and this effect was larger in the mobile phone subgroup .
There was no evidence of benefit for other biological , cognitive , behavioral , or emotional outcomes
OBJECTIVE Structured patient education programs can reduce the risk of diabetes-related complications .
However , people appear to have difficulties attending face-to-face education and alternatives are needed .
This review looked at the impact of computer-based diabetes self-management interventions on health status , cardiovascular risk factors , and quality of life of adults with type 2 diabetes .