Effectiveness of a One-day Diabetes Group Education Session for Glycaemic Control in Type 2 Diabetes Patients: A Randomised Controlled Trial
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 4
Abstract
ABSTRACT Introduction: A strategy of a diabetes group education session as a diabetes camp without staying overnight is commonly practiced in Thailand for type 2 diabetes patients. Aim: To compare the effectiveness of diabetes control between a group education session and non-intervention in type 2 diabetes. Materials and Methods: A randomised controlled trial was conducted between May 2015 and January 2016 at the Diabetes Clinic, Naresuan University Hospital, and 6 Health Promotion Hospitals. Type 2 diabetes patients with Glycosylated Haemoglobin Level (A1C) levels of more than 8% who received insulin with or without oral hypoglycaemic treatment were randomly assigned to join or not to join a 1-day diabetes group education session or a so-called Diabetes Day Camp. The primary outcomes were glycaemic control determined by fructosamine value and A1C level, 2 weeks and 3 months after finishing the intervention, respectively. Chi-square test and independent t-test were used for comparison of demographic data and final outcomes between the experimental group and the control. Before and after outcome analysis within group was determined by paired t-test. The p-value <0.05 was considered statistically significant. Results: After exclusion, there were 68 patients left for analysis, 33 in the interventional group and 35 in the control group. The 33 patients assigned to the interventional group attended one of the two consecutive sessions of a 1-day group education intervention conducted on August 8 and October 31, 2015. There were no significant differences in fructosamine values (mg/dL) and A1C levels (%) after finishing the intervention between the interventional group and control group (281.03±49.20 versus 287.94±74.08; p=0.654 and 8.99±1.37 versus 9.16±2.03; p=0.695, respectively). Conclusion: Author’s program of behavioural modification through a 1-day diabetes group education session in type 2 diabetes patients has not shown any improvement in glycaemic control as compared with non-intervention. Adding a booster or extending duration should be considered for further studies.
Authors and Affiliations
Sarinya Sattanon, Phimnipha Boonprasert, Peerapon Wong, Sidayu Suriya, Preaw Suwannasrisuk, Posavee Rattanaprayungsathaporn, Kanokwan Booranachonarpa, Supanee Boonyom
Keywords
Related Articles
- EP ID EP553332
- DOI 10.7860/JCDR/2019/40662.12803
- Views 59
- Downloads 0
The Relationship between Serum Level of Vitamin D3 and the Severity of New Onset Rheumatoid Arthritis Activity
Introduction: Rheumatoid Arthritis (RA) is a systemic inflammatory disease which typically involves wrists, ankles, and finally every joint. Some of studies have reported a reverse relationship between the level of vitam...
Paraganglioma of the Urinary Bladder – A Diagnostic Dilemma
ABSTRACT Paraganglioma of the urinary bladder is a unique neuroendocrine tumour originating from chromaffin tissue of the sympathetic nervous system. Clinically, patients may be asymptomatic or may present with hypertens...
Serum Free T3 to Free T4 Ratio as a Useful Indicator for Differentiating Destruction Induced Thyrotoxicosis from Graves' Disease
Introduction: Thyrotoxicosis is a common disease encountered in Endocrine Outpatient Department (OPD). Two common causes of thyrotoxicosis are Destruction Induced Thyrotoxicosis (DIT) and Graves’ Disease (GD). Differenti...
Comparison of Fentanyl and Nalbuphine as an Adjuvant to 0.5% Bupivacaine for Ultrasound Guided Supraclavicular Brachial Plexus Block
ABSTRACT Introduction: Supraclavicular brachial plexus block is a commonly used, reliable regional anaesthetic technique for surgery of the upper limb. An adjuvant such as fentanyl/Nalbuphine is used to prolong the effec...
Impact of Long versus Short Duration Diabetes on Sensory Nerve Conduction Velocity in Type 2 Diabetes Mellitus
ABSTRACT Introduction: Diabetes is a metabolic disorder with debilitating complications which affects several million people worldwide. Neuropathy is the most common chronic complication of Type 2 Diabetes Mellitus (T2DM...