Effect of Participation in Type 2 Diabetes Mellitus (T2DM) Education Pathway on HbA1c
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Abstract
OBJECTIVE: To examine glycemic control in diabetic patients who participated in a T2DM education pathway.
MATERIAL AND METHODS: The study was a retrospective study on diabetic patients who participated in a T2DM education pathway at the Diabetes, Thyroid and Endocrine Center, Bangkok Hospital from January 2012 to December 2013. The data assessment included: 1) Demographic data, 2) Data of self-care behaviors including exercise behavior, self-monitoring blood glucose and drug related problems (DRP)
and, 3) Hemoglobin A1c (HbA1c) data obtained from the electronic medical record (EMR).
RESULTS: A total of 163 diabetic patients took part and 105 of these (64.4%) were males. The average age was 53.7 ± 11.5 years. The average HbA1c decreased from 9.6 ± 2.0% to 7.6 ± 1.6% after one year of joining the pathway (p < 0.01). With
regards to the links between the related factors and HbA1c after participating in the pathway, it was found that self-monitoring blood glucose (SMBG) was associated with a decrease in HbA1c which was statistically signifi cant (p < 0.01). For other
factors, including exercise and drug related problems (DRPs), although there was no statistical correlation, the patients who did exercise had lower HbA1c levels than those who did not exercise.
CONCLUSION: The study revealed that SMBG allowed the diabetic patients to be able to better control their blood glucose level. The research team will apply these results with the diabetic patients by encouraging them to do SMBG in order to allow them to adjust their eating habits and do appropriate exercises.
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References
2. Gavgani RM, Poursharifi H, Aliasgarzadeh A. Effectiveness of Information-Motivation and Behavioral skill (IMB) model in improving self-care behaviors & Hba1c measure in adults with type2 diabetes in Iran-Tabriz. Procedia-Social and Behavioral Sciences 2010;5:1868-73.
3. Spollett, G. Promoting continuing education in diabetes management. Endocrine Practice 2006;12 (Suppl. 3):68-71.
4. Wongsunopparat B, Ngarmukos C, Saibuathong N. Glycemic control in persons with diabetes after attending a group educational program for diabetes self-management. Rama Nurs J 2008;14:289-97.
5. Unger, J. Practical strategies for achieving targeted glycemic control in patients with type 2 diabetes. Journal of Family Practice 2006;55:25S-32S.
6. UK Prospective Diabetes Study 7: Response of fasting plasma glucose to diet therapy in newly presenting type II diabetic patients. Metabolism 1990;39:905-12.
7. Keeratiyutawong P, Hanucharurnkul S , Panpakde O, et al. Effectiveness of a Self-Management Program for Thais with Type 2 Diabetes. Thai J Nurs Res 2006;1085-97.
8. Laguna DM, Morro I Pla. J, Rodigo SM, et al. Recommended self-monitoring of blood glucose, better metabolic control withdifferentmonitoringintervals. Primary Care Diabetes 2013;7:71-89.
9. Garcia de la N, Duran A, Del Valle L. et al. Early management of type2 diabetes based on a SMBG strategy: the way to diabetes regression-the St Carlos study: 3year, Prospective, randomized, clinic-based, interventional study with parallel group. Acta Diabetol 2013;50:607-14.
10. Kunkla A. The assessment of the ability to control diabetes.Regional Med J 6/2 1999;7:429-39.
11. Cramer JA. A systematic review of adherence with medications for diabetes. Diabetes Care 2004;27:1218-24.
12. Scavini M, Bosi E, Ceriello A, et al. Prospective, randomized trial on intensive SMBG management added value in non-insulin-treated T2DM patients (PRISMA): a study to determine the effect of a structured SMBG intervention. Acta Diabetol 2013;50:663-72.
13. Diabetes Association of Thailand. Clinical Practice Guideline in DM, 2014. Bangkok: Arun Printing; 2014.