Sustainability of improved glycemic control after diabetes self-management education

Katie G. Nicoll, Kristie L. Ramser, Jennifer D. Campbell, Katie J. Suda, Marilyn D. Lee, G Christopher Wood, Robert Sumter, Gale Hamann

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective. The purpose of this study was to evaluate glycemic control as measured by A1C during a 2-year period after patients received diabetes self-management education (DSME). Methods. Patients who completed DSME in 2009 and received medical follow-up with A1C measurements for at least 2 years after DSME were included in the evaluation. Primary endpoints were changes in A1C from before to immediately after, 1 year after, and 2 years after DSME. Secondary outcomes included the effects of the following factors on change in A1C: sex, duration of diabetes, uncontrolled diabetes (A1C ≥ 9%), health insurance coverage, and self-reported education level. Results. Forty-three patients were included in the evaluation. Mean A1C before DSME was 10.2 ± 3.7%. Mean A1C after DSME was 7.8 ± 2.2% (P < 0.0001), a 23.5% reduction. Mean A1C at 1 and 2 years after DSME was 7.8 ± 2.1% for each year and remained unchanged from just after DSME to 1 and 2 years after DSME (P > 0.05). Patients with a duration of diabetes of < 1 year had a significantly greater reduction in mean A1C than those with a duration of diabetes ≥ 1 year (28.7 and 20.2%, respectively, P = 0.001). Conclusion. DSME improved glycemic control to a substantial degree, and the effect was sustained for up to 2 years. Although the reduction in A1C was significant for all patients receiving DSME, there was a significantly greater reduction for patients who had a duration of diabetes of < 1 year than for those with a duration of diabetes > 1 year.

Original languageEnglish (US)
Pages (from-to)207-211
Number of pages5
JournalDiabetes Spectrum
Volume27
Issue number3
DOIs
StatePublished - Aug 1 2014

Fingerprint

Self Care
Education
Insurance Coverage
Health Insurance
Type 1 Diabetes Mellitus

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

Sustainability of improved glycemic control after diabetes self-management education. / Nicoll, Katie G.; Ramser, Kristie L.; Campbell, Jennifer D.; Suda, Katie J.; Lee, Marilyn D.; Wood, G Christopher; Sumter, Robert; Hamann, Gale.

In: Diabetes Spectrum, Vol. 27, No. 3, 01.08.2014, p. 207-211.

Research output: Contribution to journalArticle

Nicoll, Katie G. ; Ramser, Kristie L. ; Campbell, Jennifer D. ; Suda, Katie J. ; Lee, Marilyn D. ; Wood, G Christopher ; Sumter, Robert ; Hamann, Gale. / Sustainability of improved glycemic control after diabetes self-management education. In: Diabetes Spectrum. 2014 ; Vol. 27, No. 3. pp. 207-211.
@article{3ce4ac1c2e3a4b65bf8023e12d40235b,
title = "Sustainability of improved glycemic control after diabetes self-management education",
abstract = "Objective. The purpose of this study was to evaluate glycemic control as measured by A1C during a 2-year period after patients received diabetes self-management education (DSME). Methods. Patients who completed DSME in 2009 and received medical follow-up with A1C measurements for at least 2 years after DSME were included in the evaluation. Primary endpoints were changes in A1C from before to immediately after, 1 year after, and 2 years after DSME. Secondary outcomes included the effects of the following factors on change in A1C: sex, duration of diabetes, uncontrolled diabetes (A1C ≥ 9{\%}), health insurance coverage, and self-reported education level. Results. Forty-three patients were included in the evaluation. Mean A1C before DSME was 10.2 ± 3.7{\%}. Mean A1C after DSME was 7.8 ± 2.2{\%} (P < 0.0001), a 23.5{\%} reduction. Mean A1C at 1 and 2 years after DSME was 7.8 ± 2.1{\%} for each year and remained unchanged from just after DSME to 1 and 2 years after DSME (P > 0.05). Patients with a duration of diabetes of < 1 year had a significantly greater reduction in mean A1C than those with a duration of diabetes ≥ 1 year (28.7 and 20.2{\%}, respectively, P = 0.001). Conclusion. DSME improved glycemic control to a substantial degree, and the effect was sustained for up to 2 years. Although the reduction in A1C was significant for all patients receiving DSME, there was a significantly greater reduction for patients who had a duration of diabetes of < 1 year than for those with a duration of diabetes > 1 year.",
author = "Nicoll, {Katie G.} and Ramser, {Kristie L.} and Campbell, {Jennifer D.} and Suda, {Katie J.} and Lee, {Marilyn D.} and Wood, {G Christopher} and Robert Sumter and Gale Hamann",
year = "2014",
month = "8",
day = "1",
doi = "10.2337/diaspect.27.3.207",
language = "English (US)",
volume = "27",
pages = "207--211",
journal = "Diabetes Spectrum",
issn = "1040-9165",
publisher = "American Diabetes Association Inc.",
number = "3",

}

TY - JOUR

T1 - Sustainability of improved glycemic control after diabetes self-management education

AU - Nicoll, Katie G.

AU - Ramser, Kristie L.

AU - Campbell, Jennifer D.

AU - Suda, Katie J.

AU - Lee, Marilyn D.

AU - Wood, G Christopher

AU - Sumter, Robert

AU - Hamann, Gale

PY - 2014/8/1

Y1 - 2014/8/1

N2 - Objective. The purpose of this study was to evaluate glycemic control as measured by A1C during a 2-year period after patients received diabetes self-management education (DSME). Methods. Patients who completed DSME in 2009 and received medical follow-up with A1C measurements for at least 2 years after DSME were included in the evaluation. Primary endpoints were changes in A1C from before to immediately after, 1 year after, and 2 years after DSME. Secondary outcomes included the effects of the following factors on change in A1C: sex, duration of diabetes, uncontrolled diabetes (A1C ≥ 9%), health insurance coverage, and self-reported education level. Results. Forty-three patients were included in the evaluation. Mean A1C before DSME was 10.2 ± 3.7%. Mean A1C after DSME was 7.8 ± 2.2% (P < 0.0001), a 23.5% reduction. Mean A1C at 1 and 2 years after DSME was 7.8 ± 2.1% for each year and remained unchanged from just after DSME to 1 and 2 years after DSME (P > 0.05). Patients with a duration of diabetes of < 1 year had a significantly greater reduction in mean A1C than those with a duration of diabetes ≥ 1 year (28.7 and 20.2%, respectively, P = 0.001). Conclusion. DSME improved glycemic control to a substantial degree, and the effect was sustained for up to 2 years. Although the reduction in A1C was significant for all patients receiving DSME, there was a significantly greater reduction for patients who had a duration of diabetes of < 1 year than for those with a duration of diabetes > 1 year.

AB - Objective. The purpose of this study was to evaluate glycemic control as measured by A1C during a 2-year period after patients received diabetes self-management education (DSME). Methods. Patients who completed DSME in 2009 and received medical follow-up with A1C measurements for at least 2 years after DSME were included in the evaluation. Primary endpoints were changes in A1C from before to immediately after, 1 year after, and 2 years after DSME. Secondary outcomes included the effects of the following factors on change in A1C: sex, duration of diabetes, uncontrolled diabetes (A1C ≥ 9%), health insurance coverage, and self-reported education level. Results. Forty-three patients were included in the evaluation. Mean A1C before DSME was 10.2 ± 3.7%. Mean A1C after DSME was 7.8 ± 2.2% (P < 0.0001), a 23.5% reduction. Mean A1C at 1 and 2 years after DSME was 7.8 ± 2.1% for each year and remained unchanged from just after DSME to 1 and 2 years after DSME (P > 0.05). Patients with a duration of diabetes of < 1 year had a significantly greater reduction in mean A1C than those with a duration of diabetes ≥ 1 year (28.7 and 20.2%, respectively, P = 0.001). Conclusion. DSME improved glycemic control to a substantial degree, and the effect was sustained for up to 2 years. Although the reduction in A1C was significant for all patients receiving DSME, there was a significantly greater reduction for patients who had a duration of diabetes of < 1 year than for those with a duration of diabetes > 1 year.

UR - http://www.scopus.com/inward/record.url?scp=84907532048&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84907532048&partnerID=8YFLogxK

U2 - 10.2337/diaspect.27.3.207

DO - 10.2337/diaspect.27.3.207

M3 - Article

VL - 27

SP - 207

EP - 211

JO - Diabetes Spectrum

JF - Diabetes Spectrum

SN - 1040-9165

IS - 3

ER -