[ Nutrition ]

Teaching so they hear: using a co-created diabetes self-management education approach. – PubMed


A randomized controlled trial of 623 adults with type 2 diabetes and glycated hemoglobin (A1C) > 7% assigned to receive conventional individual education (IE), group education (GE) using US Diabetes Conversation Maps, or usual care (UC) with no education. Patient-centered medical home demonstration: a prospective, quasi-experimental, before and after evaluation. However, the relationship between DSME duration and care utilization patterns remains largely unexamined. Two hundred forty-one patients declined participation, 41 dropped out, and 78 completed the intervention. Weekly educational workshops are part of El Centro’s outreach and are offered free of charge to the community and as well as to El Centro patients, which cover topics such as nutrition, exercise, mental health (as associated with living with diabetes), medication side effects, disease complications, foot care and self-monitoring activities. Addressing language barriers was the only factor consistently integrated in the cultural components of intervention by employing bilingual interventionists. In adjusted models, very-low-food-secure participants, compared with both low-food-secure and food-secure participants, had poorer diabetes self-efficacy, greater diabetes distress, greater medication non-adherence, higher prevalence of severe hypoglycaemic episodes, higher prevalence of depressive symptoms, more medication affordability challenges, and more food and medicine or health supply trade-offs.

Having a cohesive team is necessary for you to get the best diabetes care.

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