Effectiveness of a Diabetes Education and Oversight Program to Improve Glycemic Control in Adults with Uncontrolled Type 2 Diabetes
Date
2019
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Abstract
Purpose: The purpose of this pilot project was to measure the effectiveness of a diabetes education program that included close oversight of glycemic control amongst adults with uncontrolled type 2 diabetes.
Methods: A pilot study using pre/posttest design was implemented over a 4-week period for each participant (n=11). A simplified version of the Michigan Diabetes Knowledge Scale was utilized to test diabetic knowledge in a True/False/Don’t Know format. Patient education utilized two handouts from the American Diabetes Association (ADA) and close oversight occurred through weekly telephone interviews of each participant.
Results: Posttest scores from the Michigan Diabetes Knowledge Scale exhibited an 8.7-point mean increase from pretest scores (p=0.07). Total mean glucose (n=11) from week 1 demonstrated a decrease of 14.3 mg/dL (0.79 mmol/l) (p=0.25) by week 4 as pre-lunch glucose demonstrated a statistically significant decrease (p=0.01).
Conclusions: Close oversight of individuals with type 2 diabetes may improve mean glucose averages in the fasting, pre-lunch, pre-supper, and bedtime states. Telephone encounters proved more effective over the use of educational handouts when participants were asked to compare the usefulness of both methods.
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Type 2 diabetes education, hemoglobin A1c, glycemic control, non-compliance, Type 2 diabetes education, Hemoglobin A1c, Glycemic control, Non-compliance