Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Clinical Trial
. 2019 Mar;35(3):e3112.
doi: 10.1002/dmrr.3112. Epub 2018 Dec 21.

Effect of simulation education and case management on glycemic control in type 2 diabetes

Hong Ji  1 , Ronghao Chen  1 , Yong Huang  1 , Wenqin Li  1 , Chunhui Shi  1 , Juan Zhou  1
Affiliations
Clinical Trial

Effect of simulation education and case management on glycemic control in type 2 diabetes

Hong Ji et al. Diabetes Metab Res Rev. 2019 Mar.

Abstract

Background: The aim of the study was to investigate whether simulation education (SE) and case management had any effect on glycemic control in type 2 diabetes (T2DM) patients.

Methods: In this single center pilot trial, 100 T2DM patients who received medication and basic diabetes self-management education (DSME) were randomly divided into a control group (n = 50) and an experimental group (n = 50), who received SE and a case management program. Evaluation of biochemical indices was conducted at baseline and after 6 months. DSME consisted of 2-hour group trainings weekly for 2 consecutive weeks followed by 2 × 30 minute education sessions after 3 and 6 months. The SE program comprised additional 50-minute video sessions 3 times in the first week and twice in the second week. The experimental group was supervised by a nurse case manager, who followed up participants at least once a month, and who conducted group sessions once every 3 months, focusing on realistic aspects of physical activity and nutrition, with open discussions about setting goals and strategies to overcome barriers.

Results: After 6 months, HbA1c, fasting plasma glucose, and postprandial blood glucose level improvements were superior in the experimental group compared with the control group (P < 0.05). Self-care behavior adherence scores of healthy diet (P = 0.001), physical activity (P = 0.043), self-monitoring of blood glucose (P < 0.001), and reducing risks (P < 0.001) were significantly increased in the experimental group compared with the control group.

Conclusions: Simulation education and case management added to routine DSME effectively improved glycemic control in T2DM patients.

Keywords: HbA1c; T2DM; blood glucose control; case management; diabetes self-management education (DSME); self-care behaviours; simulation education (SE).

PubMed Disclaimer

Figures

Figure 1
Figure 1
Flowchart of the present study
See this image and copyright information in PMC

References

    1. Fain JA. 2017 National Standards for Diabetes Self‐Management Education and Support (DSMES): revised and updated. Diabetes Educ. 2017;43(5):439. - PubMed
    1. Chrvala CA, Sherr D, Lipman RD. Diabetes self‐management education for adults with type 2 diabetes mellitus: a systematic review of the effect on glycemic control. Patient Educ Couns. 2016;99(6):926‐943. - PubMed
    1. Klein HA, Jackson SM, Street K, Whitacre JC, Klein G. Diabetes self‐management education: miles to go. Nurs Res Pract. 2013;2013:581012. - PMC - PubMed
    1. Sperl‐Hillen J, O'Connor P, Ekstrom H, et al. Using simulation technology to teach diabetes care management skills to resident physicians. J Diabetes Sci Technol. 2013;7(5):1243‐1254. - PMC - PubMed
    1. Sperl‐Hillen JM, O'Connor PJ, Rush WA, et al. Simulated physician learning program improves glucose control in adults with diabetes. Diabetes Care. 2010;33(8):1727‐1733. - PMC - PubMed

Publication types

MeSH terms