The effect of diabetes self-management education on body weight, glycemic control, and other metabolic markers in patients with type 2 diabetes mellitus

J Diabetes Res. 2014:2014:789761. doi: 10.1155/2014/789761. Epub 2014 Jul 17.

Abstract

Aims: To comprehensively evaluate the effect of a short-term diabetes self-management education (DSME) on metabolic markers and atherosclerotic parameters in patients with type 2 diabetes.

Methods: 76 patients with type 2 diabetes were recruited in this study. They were divided into the intervention group (n = 36) and control group (n = 40). The patients in the intervention group received a 3-month intervention, including an 8-week education on self-management of diabetes mellitus and subsequent 4 weeks of practice of the self-management guidelines. The patients in the control group received standard advice on medical nutrition therapy. Metabolic markers, carotid intima-media thickness (CIMT), and carotid arterial stiffness (CAS) of the patients in both groups were assessed before and after the 3-month intervention.

Results: There was a significant reduction in hemoglobin A1c (HbA1c, -0.2 ± 0.56% versus 0.08 ± 0.741%; P < 0.05) and body weight (-1.19 ± 1.39 kg versus -0.61 ± 2.04 kg; P < 0.05) in the intervention group as compared to the control group. However, no significant improvements were found in other metabolic markers, CIMT and CAS (P > 0.05).

Conclusions: DSME can improve HbA1c and body weight in patients with type 2 diabetes.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Biomarkers / blood
  • Blood Glucose / metabolism
  • Body Weight*
  • Carotid Artery Diseases / blood
  • Carotid Artery Diseases / diagnosis
  • Carotid Artery Diseases / physiopathology
  • Carotid Artery Diseases / therapy
  • Carotid Intima-Media Thickness
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / physiopathology
  • Diabetes Mellitus, Type 2 / therapy*
  • Diabetic Angiopathies / blood
  • Diabetic Angiopathies / diagnosis
  • Diabetic Angiopathies / physiopathology
  • Diabetic Angiopathies / therapy
  • Female
  • Glycated Hemoglobin / metabolism*
  • Health Knowledge, Attitudes, Practice*
  • Hong Kong
  • Humans
  • Male
  • Middle Aged
  • Patient Education as Topic*
  • Self Care / methods*
  • Time Factors
  • Treatment Outcome
  • Vascular Stiffness

Substances

  • Biomarkers
  • Blood Glucose
  • Glycated Hemoglobin
  • hemoglobin A1c protein, human