Is group diabetes education effective on hemoglobin A1c level?

Year 2018, Volume: 4 Issue: 3, 193 - 198, 04.07.2018

Güven Barış Cansu Bengür Taşkıran Göknur Yorulmaz Hülya Doğan Cevahir Dinçtürk

https://doi.org/10.18621/eurj.341094

Abstract

Objectives.
Diabetes education decreases hemoglobin A1c (HbA1c) level by 1% in patients
with diabetes mellitus. In addition, education delays development or
progression of complications by improving psychosocial, clinical, and
behavioural aspects of diabetes mellitus, improves quality of life, modifies
life style behaviours including healthy eating and regular exercise. In this
study, we aimed to evaluate efficacy of diabetes group education programme
called diabetes school on glycemic control by comparing HbA1c levels of
patients with diabetes mellitus measured before and after education. Methods.
Electronic medical records of patients with DM who were registered to
diabetes school executed by endocrine units of two hospitals between 2015 and 2017 were retrospectively evaluated.
Diabetes school programme was composed of 90 minutes sessions a week for 4
consecutive weeks. Education sessions were executed in a didactic and
interactive pattern. Results. The attendees (n = 65) had
signicantly lower HbA1c levels after the education programme (before 9.09 ± 2.46%,
after 7.88 ± 1.90%; p = 0.001) than
the non-attendees (n = 41) (before 8.96 ± 2.35%, after 8.35 ± 2.00%; p = 0.091). Insulin users had
significantly higher baseline HbA1c values and benefited more than non-insulin
users (p < 0.0001). Conclusions:
The diabetes school education programme has positive impact on glycemic
control in patients with diabetes mellitus. A large team may lessen the burden
of education sessions on health specialists. The school executed by a team
consisting of specialists may reach a larger number of patients while the
patients get the opportunity to repeat the sessions anytime they need. 

Keywords

diabetes education, hemoglobin A1c, diabetes school, group education

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