Affiliation:
1. Diabetes Center and Department of Medicine, Johns Hopkins University School of Medicine, Loyola College Center for Social and Community Research Baltimore, Maryland
Abstract
Objective
To examine the effect of diabetes education on self-regulation and life-style behaviors.
Research Design and Methods
Participants in an outpatient diabetes education program completed a protocol measuring several self-care behaviors and glycemic control at entry (n = 165) and 6 (n = 124) and 12 (n = 89) mo after the program.
Results
Improvement was noted at 6 mo for most self-care behaviors and glycemic control. At 12 mo, lower glycosylated hemoglobin levels were maintained (P < 0.001) without increases in perceived hypoglycemia. Improvement was not maintained for those self-care behaviors that require change in life-style, i.e., diet and exercise. However, self-care behaviors that allow patients to self-regulate their glycemic control—self-monitoring of blood glucose and insulin dose self-adjustment—were improved at 12 mo over preprogram levels (P < 0.001). Frequency of insulin self-adjustment continued to increase during the period between follow-ups.
Conclusions
The findings suggest that diabetes education is effective in promoting self-regulation behaviors, although it has less effect on traditional regimen behaviors such as diet and exercise.
Publisher
American Diabetes Association
Subject
Advanced and Specialized Nursing,Endocrinology, Diabetes and Metabolism,Internal Medicine
Cited by
81 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献