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 .
Improvement in diabetes care of underinsured patients enrolled in project dulce: a community-based, culturally appropriate, nurse case management and peer education diabetes care model.
OBJECTIVE To improve clinical diabetes care , patient knowledge , and treatment satisfaction and to reduce health-adverse culture-based beliefs in underserved and underinsured population s with diabetes . RESEARCH DESIGN AND METHODS A total of 153 high-risk patients with diabetes recruited from six community clinic sites in San Diego County , California were enrolled in a nurse case management ( NCM ) and peer education/empowerment group . Baseline and 1-year levels of HbA(1c ) , lipid parameters , systolic and diastolic blood pressure , knowledge of diabetes , culture-based beliefs in ineffective remedies , and treatment satisfaction were prospect ively measured . The NCM and peer education/empowerment group was compared with 76 individuals in a matched control group ( CG ) derived from patients referred but not enrolled in Project Dulce . RESULTS After 1 year in Project Dulce , the NCM and peer education/empowerment group had significant improvements in HbA(1c ) ( 12.0 - 8.3 % , P < 0.0001 ) , total cholesterol ( 5.82 - 4.86 mmol/l , P < 0.0001 ) , LDL cholesterol ( 3.39 - 2.79 mmol/l , P < 0.0001 ) , and diastolic blood pressure ( 80 - 76 mmHg , P < 0.009 ) , which were significantly better than in the CG , in which no significant changes were noted . Accepted American Diabetes Association st and ards of diabetes care , knowledge of diabetes ( P = 0.024 ) , treatment satisfaction ( P = 0.001 ) , and culture-based beliefs ( P = 0.001 ) were also improved . CONCLUSIONS A novel , culturally appropriate , community-based , nurse case management/peer education diabetes care model leads to significant improvement in clinical diabetes care , self-awareness , and underst and ing of diabetes in underinsured population
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 .