Diabetes self-management education interventions and glycemic control among hispanics: a literature review

Hisp Health Care Int. 2013;11(4):157-66. doi: 10.1891/1540-4153.11.4.157.


Diabetes self-management education interventions have been shown to improve glycemic control in Whites and African Americans with type 2 diabetes. Hispanic women and men, however, sometimes have barriers to management including lack of access to care, low English proficiency, low literacy, and cultural differences. This review examined the state of the science related to the effects of diabetes self-management education interventions on glycemic control in Hispanics. The 8 of 9 studies showed a significant decrease in glycated hemoglobin in experimental patients. The interventions also demonstrated the success of using community health workers, bilingual interventionists, culturally sensitive designs, and accessible interventions. Limitations included weak study designs, high attrition rates, and short duration of studies.

Publication types

  • Review

MeSH terms

  • Attitude to Health
  • Blood Glucose Self-Monitoring
  • Cultural Characteristics
  • Diabetes Mellitus, Type 2 / ethnology*
  • Diabetes Mellitus, Type 2 / therapy*
  • Glycated Hemoglobin A / metabolism
  • Health Behavior
  • Hispanic or Latino / education*
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Patient Education as Topic*
  • Self Care*


  • Glycated Hemoglobin A