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 .
Rapid improvement of glycemic control in type 2 diabetes using weekly intensive multifactorial interventions: structured glucose monitoring, patient education, and adjustment of therapy-a randomized controlled trial.
BACKGROUND We evaluated intensive intervention in poorly controlled patients with type 2 diabetes mellitus involving weekly clinic visits and adjustment of therapy with analysis of three seven-point glucose profiles and intervention from an interdisciplinary staff . METHODS Sixty-three patients were r and omized to an intensive treatment group that obtained self-monitoring of blood glucose ( SMBG ) profiles  ( six or seven values per day , 3 days/week ) and were seen in the clinic at Weeks 1 - 6 and 12 . SMBG results were downloaded , analyzed using Accu-Chek ( ® ) 360 ° software ( Roche Diagnostics , Indianapolis , IN ) , and used to adjust therapy . Control group subjects obtained  glucose profiles and had clinic visits only at Weeks 0 , 6 , and 12 . RESULTS There were highly statistically significant improvements in the intensive treatment group compared with the control group between Weeks 0 and 6 with greater reductions in weekly mean glycemia ( WMG ) ( -76.7±8.9 mg/dL vs. -20.5±8.1 mg/dL ) , glycemic variability ( SD ) ( -16.3±3.1 mg/dL vs. -5.0±3.1 mg/dL ) , and glycated hemoglobin ( -1.82±0.16 % vs. -0.66±0.22 % ) without significant changes in frequency of hypoglycemia or weight . Improvements were sustained in the intensive treatment group through Week 12 . A minimal but statistically significant degree of improvement was seen in the control group at Week 12 . CONCLUSIONS This short-term pilot study of an intensive monitoring , educational , and pharmacological interventions program result ed in dramatic improvement of glycemic control within 6 weeks , and these effects are sustained through Week 12 . SMBG glucose profiles , calculation of WMG and SD , and graphical displays of glucose data can improve the effectiveness of adjustment of therapy at weekly clinic visits when combined with intensive support from a multidisciplinary team
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 .