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Effect of simulation education and case management on glycemic control in type 2 diabetes.


ABSTRACT:

Background

The aim of the study was to investigate whether simulation education (SE) and case management had any effect on glycemic control in type 2 diabetes (T2DM) patients.

Methods

In this single center pilot trial, 100 T2DM patients who received medication and basic diabetes self-management education (DSME) were randomly divided into a control group (n = 50) and an experimental group (n = 50), who received SE and a case management program. Evaluation of biochemical indices was conducted at baseline and after 6 months. DSME consisted of 2-hour group trainings weekly for 2 consecutive weeks followed by 2 × 30 minute education sessions after 3 and 6 months. The SE program comprised additional 50-minute video sessions 3 times in the first week and twice in the second week. The experimental group was supervised by a nurse case manager, who followed up participants at least once a month, and who conducted group sessions once every 3 months, focusing on realistic aspects of physical activity and nutrition, with open discussions about setting goals and strategies to overcome barriers.

Results

After 6 months, HbA1c, fasting plasma glucose, and postprandial blood glucose level improvements were superior in the experimental group compared with the control group (P < 0.05). Self-care behavior adherence scores of healthy diet (P = 0.001), physical activity (P = 0.043), self-monitoring of blood glucose (P < 0.001), and reducing risks (P < 0.001) were significantly increased in the experimental group compared with the control group.

Conclusions

Simulation education and case management added to routine DSME effectively improved glycemic control in T2DM patients.

SUBMITTER: Ji H 

PROVIDER: S-EPMC6590464 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Publications

Effect of simulation education and case management on glycemic control in type 2 diabetes.

Ji Hong H   Chen Ronghao R   Huang Yong Y   Li Wenqin W   Shi Chunhui C   Zhou Juan J  

Diabetes/metabolism research and reviews 20181221 3


<h4>Background</h4>The aim of the study was to investigate whether simulation education (SE) and case management had any effect on glycemic control in type 2 diabetes (T2DM) patients.<h4>Methods</h4>In this single center pilot trial, 100 T2DM patients who received medication and basic diabetes self-management education (DSME) were randomly divided into a control group (n = 50) and an experimental group (n = 50), who received SE and a case management program. Evaluation of biochemical indices was  ...[more]

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