دورية أكاديمية
Glycaemic benefit of structured diabetes education in Nepal, a resource limited environment
| العنوان: | Glycaemic benefit of structured diabetes education in Nepal, a resource limited environment |
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| المؤلفون: | Pradhan, Jaya, Rajbhandari, Satyan M |
| المصدر: | British Journal of Diabetes; Vol. 20 No. 2 (2020): December 2020; 107-112 ; 2397-6241 ; 2397-6233 |
| بيانات النشر: | ABCD (Diabetes Care) Ltd |
| سنة النشر: | 2020 |
| المجموعة: | British Journal of Diabetes |
| مصطلحات موضوعية: | type 2 diabetes, structured diabetes education, diabetes self-management, fasting plasma glucose |
| الوصف: | Introduction: Structured diabetes education is a key element in the management of type 2 diabetes, but this is challenging to deliver in settings where resources are limited.Methods: We conducted a randomised evaluation of a single 90-minute session of structured diabetes education added to the local standard of diabetes care compared with a control group (standard diabetes care only) in 150 patients with recently diagnosed type 2 diabetes in Nepal. The level of knowledge about diabetes was low.Results: Follow-up 6 months after the intervention showed that the reduction in mean (SD) fasting plasma glucose was significantly larger in the education group (from 8.6 (2.9) mmol/L to 6.7 (1.2) mmol/L) compared with the control group (from 8.1 (1.8) mmol/L to 7.0 (1.8) mmol/L) (p=0.029 for comparison between groups). A significant reduction in postprandial plasma glucose also occurred in the education group (from 11.7 (3.7) mmol/L to 8.3 (1.2) mmol/L) compared with the control group (from 11.5 (4.0) mmol/L to 9.7 (2.3) mmol/L) (p=0.005 between groups). A trend to reduced HbA1c was seen for the education versus the control group at 6 months (p=0.06). There were no significant changes in lipids or blood pressure. Overall energy intake and the proportion of energy intake from fat was lower at 6 months compared with baseline for the education group but not for the control group, although there were no significant changes in anthropometric parameters.Conclusion: Our results suggest that a single session of structured diabetes education may provide glycaemic benefits in newly-diagnosed type 2 diabetes patients, and that this may be a pragmatic means of improving diabetes self-care in resource-limited countries such as Nepal. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf; text/html |
| اللغة: | English |
| العلاقة: | https://bjd-abcd.com/index.php/bjd/article/view/553/819Test; https://bjd-abcd.com/index.php/bjd/article/view/553/821Test; https://bjd-abcd.com/index.php/bjd/article/view/553Test |
| DOI: | 10.15277/bjd.2020.260 |
| الإتاحة: | https://doi.org/10.15277/bjd.2020.260Test https://bjd-abcd.com/index.php/bjd/article/view/553Test |
| حقوق: | Copyright (c) 2020 British Journal of Diabetes |
| رقم الانضمام: | edsbas.CE774FF9 |
| قاعدة البيانات: | BASE |
| DOI: | 10.15277/bjd.2020.260 |
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