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Randomized Controlled Trial
. 2014:2014:789761.
doi: 10.1155/2014/789761. Epub 2014 Jul 17.

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

Chuang Yuan  1 , Christopher W K Lai  1 , Lawrence W C Chan  1 , Meyrick Chow  2 , Helen K W Law  1 , Michael Ying  1
Affiliations
Randomized Controlled Trial

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

Chuang Yuan et al. J Diabetes Res. 2014.

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.

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Figures

Figure 1
Figure 1
The assessment of intima-media thickness and arterial stiffness in the carotid artery. (a) Radiofrequency-based quality intima-media thickness. (b) Radiofrequency-based quality arterial stiffness. The arrows indicate the inferior end of the carotid bulb and the double-arrow lines show a distance of 1 cm.
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