Diabetes Care, Vol 15, Issue 7 864-869, Copyright © 1992 by American Diabetes Association

ARTICLES

Metabolic impact of education in NIDDM

GA D'Eramo-Melkus, J Wylie-Rosett and JA Hagan
Division of Endocrinology and Diabetes, Albert Einstein College of Medicine, Bronx, New York.

OBJECTIVE--To evaluate the impact of a model program of diabetes education and weight reduction on diabetes control and weight loss in obese individuals with non-insulin-dependent diabetes mellitus (NIDDM). RESEARCH DESIGN AND METHODS--Eighty-two obese diabetic subjects were randomized to three levels of educational intensity: 1) a single individual session, 2) a 12-wk behavior-oriented diabetes education and weight control group intervention, or 3) group intervention plus six individual follow-up sessions. Repeated measures of weight, fasting blood glucose, and HbA1c were collected. Measures of diabetes knowledge, skills, and attitudes were also obtained. RESULTS--By 6 mo, all three intervention groups had a significant weight loss (P less than 0.01). The mean weight loss of approximately 10 lb was independent of treatment group and was maintained over the duration of the study. However, significant improvement in metabolic control was associated with participation in the diabetes education-weight reduction intervention. CONCLUSIONS--The findings of this study indicate that a cognitive behavioral group intervention of diabetes knowledge and weight reduction training can produce weight loss and improvements in diabetes control. The addition of individual counseling as a follow-up maintenance strategy does not appear to have any advantage.
CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				J. Lujan, S. K. Ostwald, and M. Ortiz Promotora Diabetes Intervention for Mexican Americans The Diabetes Educator, July 1, 2007; 33(4): 660 - 670. [Abstract] [Full Text] [PDF]

				D. Chyun, K. O. Lacey, D. M. Katten, S. Talley, W. J. Price, J. A. Davey, and G. D. Melkus Glucose and Cardiac Risk Factor Control in Individuals With Type 2 Diabetes: Implications for Patients and Providers The Diabetes Educator, November 1, 2006; 32(6): 925 - 939. [Abstract] [Full Text] [PDF]

				H. M. Krumholz, P. M. Currie, B. Riegel, C. O. Phillips, E. D. Peterson, R. Smith, C. W. Yancy, and D. P. Faxon A Taxonomy for Disease Management: A Scientific Statement From the American Heart Association Disease Management Taxonomy Writing Group Circulation, September 26, 2006; 114(13): 1432 - 1445. [Abstract] [Full Text] [PDF]

				K. G. Shojania, S. R. Ranji, K. M. McDonald, J. M. Grimshaw, V. Sundaram, R. J. Rushakoff, and D. K. Owens Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysis. JAMA, July 26, 2006; 296(4): 427 - 440. [Abstract] [Full Text] [PDF]

				J. Chodosh, S. C. Morton, W. Mojica, M. Maglione, M. J. Suttorp, L. Hilton, S. Rhodes, and P. Shekelle Meta-Analysis: Chronic Disease Self-Management Programs for Older Adults Ann Intern Med, September 20, 2005; 143(6): 427 - 438. [Abstract] [Full Text] [PDF]

				P. Galasso, A. Amend, G. D. Melkus, and G. T. Nelson Barriers to Medical Nutrition Therapy in Black Women With Type 2 Diabetes Mellitus The Diabetes Educator, September 1, 2005; 31(5): 719 - 725. [Abstract] [Full Text] [PDF]

				M. K. Rhee, W. Slocum, D. C. Ziemer, S. D. Culler, C. B. Cook, I. M. El-Kebbi, D. L. Gallina, C. Barnes, and L. S. Phillips Patient Adherence Improves Glycemic Control The Diabetes Educator, March 1, 2005; 31(2): 240 - 250. [Abstract] [Full Text] [PDF]

				R. Whittemore, G. D. Melkus, A. Sullivan, and M. Grey A Nurse-Coaching Intervention for Women With Type 2 Diabetes The Diabetes Educator, September 1, 2004; 30(5): 795 - 804. [PDF]

				T. L. Gary, J. M. Genkinger, E. Guallar, M. Peyrot, and F. L. Brancati Meta-Analysis of Randomized Educational and Behavioral Interventions in Type 2 Diabetes The Diabetes Educator, May 1, 2003; 29(3): 488 - 501. [Abstract] [PDF]

				C. R. Mensing and S. L. Norris Group Education in Diabetes: Effectiveness and Implementation Diabetes Spectr, April 1, 2003; 16(2): 96 - 103. [Abstract] [Full Text] [PDF]

				C. D. Miller, C. S. Barnes, L. S. Phillips, D. C. Ziemer, D. L. Gallina, C. B. Cook, S. D. Maryman, and I. M. El-Kebbi Rapid A1c Availability Improves Clinical Decision-Making in an Urban Primary Care Clinic Diabetes Care, April 1, 2003; 26(4): 1158 - 1163. [Abstract] [Full Text] [PDF]

				S. R Weingarten, J. M Henning, E. Badamgarav, K. Knight, V. Hasselblad, A. Gano Jr, and J. J Ofman Interventions used in disease management programmes for patients with chronic illness---which ones work? Meta-analysis of published reports BMJ, October 26, 2002; 325(7370): 925 - 925. [Abstract] [Full Text] [PDF]

				S. L. Norris, J. Lau, S. J. Smith, C. H. Schmid, and M. M. Engelgau Self-Management Education for Adults With Type 2 Diabetes: A meta-analysis of the effect on glycemic control Diabetes Care, July 1, 2002; 25(7): 1159 - 1171. [Abstract] [Full Text] [PDF]

				A. Raji, H. Gomes, J. O. Beard, P. MacDonald, and P. R. Conlin A Randomized Trial Comparing Intensive and Passive Education in Patients With Diabetes Mellitus Arch Intern Med, June 10, 2002; 162(11): 1301 - 1304. [Abstract] [Full Text] [PDF]

				S. L. Norris, M. M. Engelgau, and K.M. Venkat Narayan Effectiveness of Self-Management Training in Type 2 Diabetes: A systematic review of randomized controlled trials Diabetes Care, March 1, 2001; 24(3): 561 - 587. [Abstract] [Full Text]

				K. O. Lacey, D. A. Chyun, and M. Grey An Integrative Literature Review of Cardiac Risk Factor Management in Diabetes Education Interventions The Diabetes Educator, September 1, 2000; 26(5): 812 - 820. [Abstract] [PDF]

				S. A. Brown Interventions to Promote Diabetes Self-Management: State of the Science The Diabetes Educator, November 1, 1999; 25(6_suppl): 52 - 61. [Abstract] [PDF]

				R T Erasmus, E B. Blanco, A B Okesina, Z Gqweta, and T Matsha Assessment of glycaemic control in stable type 2 black South African diabetics attending a peri-urban clinic Postgrad. Med. J., October 1, 1999; 75(888): 603 - 606. [Abstract] [Full Text]

				E. D. Sullivan and D. H. Joseph Struggling With Behavior Changes: A Special Case for Clients With Diabetes The Diabetes Educator, January 1, 1998; 24(1): 72 - 77. [PDF]

				J. R. Nurss, I. M. El-Kebbi, D. L. Gallina, D. C. Ziemer, V. C. Musey, S. Lewis, Qinghong Liao, and L. S. Phillips Diabetes in Urban African Americans: Functional Health Literacy of Municipal Hospital Outpatients With Diabetes The Diabetes Educator, January 1, 1997; 23(5): 563 - 568. [PDF]

				Nancya. Maillet, G. d. Melkus, and G. Spollett Using Focus Groups to Characterize the Health Beliefs and Practices of Black Women with Non-Insulin-Dependent Diabetes The Diabetes Educator, January 1, 1996; 22(1): 39 - 46. [PDF]

				E. M. Campbell, S. Redman, Pauls. Moffitt, and R. W. Sanson-Fisher The Relative Effectiveness of Educational and Behavioral Instruction Programs for Patients With NIDDM: A Randomized Trial The Diabetes Educator, January 1, 1996; 22(4): 379 - 386. [PDF]

				K. Hawthorne Diabetes health education for British South Asians: a review of aims, difficulties and achievements Health Education Journal, January 1, 1994; 53(3): 309 - 321. [PDF]

				D. L. Arseneau, A. C. Mason, O. Bennet Wood, E. Schwab, and D. Green A Comparison of Learning Activity Packages and Classroom Instruction for Diet Management of Patients with Non-Insulin-Dependent Diabetes Mellitus The Diabetes Educator, January 1, 1994; 20(6): 509 - 514. [PDF]