Group education for obese patients with type 2 diabetes: greater success at less cost

Diabet Med. 1988 Sep;5(6):552-6. doi: 10.1111/j.1464-5491.1988.tb01050.x.

Abstract

It has been suggested that much effort expended in teaching diabetic diets is ineffective and wasteful. We have tested a different system by randomly allocating 75 newly diagnosed obese Type 2 diabetic patients to usual 'unstructured' clinic care or to group education by diabetes specialist nurses and a dietitian. Patients allocated to group education attended five 90-min group sessions during the first 6 months. Six months after diagnosis they had lost more weight (median (95% Cl), 7 (5.5-9) vs 2(1-5)kg, p less than 0.002) and were better controlled (HbA1:7.5 (7.0-8.1) vs 9.5 (8.7-10.4)%, p less than 0.001) than those randomized to the usual clinic system. At 1 year (after no further visits) the difference in weight loss was less (5.5 (4-6.5) vs 3 (2-4) kg, p less than 0.05) and diabetic control was similar (HbA1:9.0(8.2-9.8) vs 9.9(8.9-10.9)%. At 1 year only 14(39%) of the education group and 9(23%) of those attending the clinic had a fasting blood glucose less than 7.0 mmol l-1.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blood Glucose / analysis
  • Costs and Cost Analysis
  • Diabetes Mellitus / blood
  • Diabetes Mellitus / rehabilitation*
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / rehabilitation*
  • Diet, Diabetic*
  • Educational Measurement
  • England
  • Female
  • Glycated Hemoglobin A / analysis
  • Humans
  • Male
  • Middle Aged
  • Obesity*
  • Patient Education as Topic / economics
  • Patient Education as Topic / methods*
  • Surveys and Questionnaires

Substances

  • Blood Glucose
  • Glycated Hemoglobin A