Publication Date
7-27-2020
Keywords
diabetes education, low socioeconomic status, type 2 diabetes mellitus, glycemic control
Abstract
Diabetes self-management education (DSME) improves glycemic control, but patients with low socioeconomic status face institutional and personal barriers to receiving DSME. A retrospective single cohort study of a 2-hour group DSME program prioritizing accessibility and completion of a tightly focused curriculum was performed to determine if glycemic control improved and whether a longer, more comprehensive, prospective evaluation of the program is indicated. All patients who participated in the program from September 2017 to December 2018 were included in the analysis. The primary study endpoint was change in hemoglobin A1c (HbA1c) from baseline. A total of 58 out of 94 patients (61.7%) had paired measurements of HbA1c. Mean HbA1c improved from 9.8% ± 2.2% (83.5 ± 24.2 mmol/mol) to 8.3% ± 2.0% (67.7 ± 22.0 mmol/mol) at a median of 4 months after participation in the program (P < 0.001). The proportion of patients with any improvement in HbA1c was 75.9% (44 of 58; P = 0.003), and 65.5% of patients (38 of 58; P = 0.066) had an improvement in HbA1c of ≥ 0.5%. These results demonstrate the benefit of highly targeted DSME for low-income patients and justify a longer-term and prospective evaluation of the program.
Recommended Citation
Jakoby MG 4th, Schleder M, Luff V, Yergler C, Botchway A, Burns C. A 2-hour diabetes self-management education program for patients with low socioeconomic status improves short-term glycemic control. J Patient Cent Res Rev. 2020;7:275-81. doi: 10.17294/2330-0698.1745
Included in
Dietetics and Clinical Nutrition Commons, Endocrine System Diseases Commons, Endocrinology, Diabetes, and Metabolism Commons, Health and Medical Administration Commons, Health Services Research Commons, Nursing Commons, Primary Care Commons, Public Health Education and Promotion Commons
Submitted
January 8th, 2020
Accepted
February 24th, 2020
