Unlabelled: Introduction The purpose of this study is to assess the effectiveness of diabetes self-management education (DSME) in a rural agricultural town.
Methods: In this prospective, education-intervention trial, 85 adults with type 2 diabetes mellitus from villages randomly assigned to DSME and 70 from villages assigned to standard care participated. The DSME group underwent a curriculum delivered by peer educators; those in the standard group received usual advice. Outcome measures were anthropometric, biochemical, health behaviors, and medication use data taken at baseline then after three and six months.
Results: DSME group had a lower median A1C after three and six months. After six months, there was a 0.5% median A1C reduction in DSME group and a 0.25% increase in the standard group. There were more participants in DSME group with A1C ⩽7.0% after three and six months. By the third month, there were more participants in DSME group performing foot examination.
Conclusion: DSME in this rural agricultural town improved glycemic control and promoted foot examination.
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| http://dx.doi.org/10.1017/S1463423616000335 | DOI Listing |
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