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. 2025 May 27:19:100617.
doi: 10.1016/j.rcsop.2025.100617. eCollection 2025 Sep.

Impact of clinical pharmacist video-based education on self-care and glycemic control in Sudanese adults with type 2 diabetes: A pre-post interventional study

Safaa Badi  1 , Sara Zainelabdein Suliman  1 , Rayan Almahdi  1 , Mohammed A Aldomah  1 , Habab Khalid Elkheir  1   2 , Mohamed Izham Mohamed Ibrahim  3 , Mohamed H Ahmed  4   5   6
Affiliations

Impact of clinical pharmacist video-based education on self-care and glycemic control in Sudanese adults with type 2 diabetes: A pre-post interventional study

Safaa Badi et al. Explor Res Clin Soc Pharm. .

Abstract

Background: Diabetes affects various body systems, increasing the risk of complications.

Objectives: This study assessed the impact of clinical pharmacist-associated education on diabetes self-care practices and glycemic control in Sudanese individuals with Type 2 Diabetes Mellitus (T2DM).

Design and methods: This quasi-experimental study with no control group recruited 110 adults with T2DM from a diabetes clinic over 12 months using simple random sampling. We collected data through interviews and calls. Participants received 12 educational videos covering diabetes management. The intervention was video-based and delivered over 5 months. We analyzed data using SPSS version 28.

Results: The mean age of participants was 56.2 ± 10.3 years. Self-care practices significantly improved over time. Fasting blood glucose (FBG) levels decreased by 16.7 mg/dL at 6 months (p = 0.009) and 41.9 mg/dL at 12 months (p < 0.001). Two-hour postprandial glucose levels dropped by 18.7 mg/dL at 6 months (p = 0.006) and 61.8 mg/dL at 12 months (p < 0.001). HbA1c levels decreased by 1 % at6 months (p < 0.001) and 1.9 % at 12 months (p < 0.001). The effect size (Cohen's d) was increased from 0.26 at 6 months to 0.74 at 12 months. Similarly, it was increased for 2hrsPPG from 0.2 at 6 months to 0.74 at 12 months. For HbA1c, it was increased from 0.62 at 6 months to 1.25 at 12 months, indicating clinically meaningful improvement in long-term glycemic control following the pharmacist intervention. LDL decreased by 9.2 mg/dL at 12 months (p < 0.001), and HDL increased by 5.5 mg/dL at 12 months (p = 0.002). Changes in BUN and serum creatinine were insignificant.

Conclusion: Clinical pharmacist education improved diabetes self-care practices and metabolic outcomes, including glycemic control and lipid profiles, demonstrating its role in achieving therapeutic goals for patients with T2DM.

Keywords: Clinical pharmacist; Diabetes control; Education; Glycemic parameters; Self-care practices.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Flow of participants through each stage of the study.
Fig. 2
Fig. 2
Comparison of the mean (SD) of FBG and 2hrsPPG at baseline, 6 month months and 12 month of the study. FBG: fasting blood glucose, 2hrsPPG: 2 h postprandial glucose. SD: standard deviation. p < 0.009 at 6 months, and p < 0.001 at 12 months.
Fig. 3
Fig. 3
Comparison of the mean (SD) of HbA1c at baseline, 6 month months and 12 month of the study, HbA1c: glycosylated hemoglobin, SD: standard deviation. p < 0.001 at 6 and 12 months.
Fig. 4
Fig. 4
Comparison of the lipid parameters at baseline and 12 month of the study. LDL: low-density lipoprotein, HDL: high-density lipoprotein, TG: triglyceride level, TC: total cholesterol, SD: standard deviation. p < 0.001 at 12 months.
See this image and copyright information in PMC

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