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The Long-Term Effects of Self-Management Education for Patients With Type 2 Diabetes on Glycemic Control

Response to Norris et al.

¹ Department of Internal Medicine, Institute of Clinical Medicine, University of Tsukuba, Tsukuba, Japan
² Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
³ Second Department of Interenal Medicine, School of Medicine, Chiba University, Chiba, Japan
⁴ Department of Ophtalmology, School of Medicine, Yamagata University, Yamagata, Japan
⁵ Department of Internal Medicine, Jichi Medical College, Tochigi, Japan
⁶ Fourth Department of Internal Medicine, Saitama Medical College, Saitama, Japan
⁷ Ohta Nishinouchi Hospital, Koriyama, Fukushima, Japan
⁸ Department of Biostatistics/Epidemiology, School of Health Sciences and Nursing, University of Tokyo, Tokyo, Japan
⁹ Institute for Diabetes Care and Research, Asahi Life Foundation, Tokyo, Japan

The first 20% of the full text of this article appears below.

We read with interest the recently published meta-analysis by Norris et al. (1), which focuses on the effects of diabetes self-management education (DSME) on glycemic control in adult patients with type 2 diabetes. They report that this intervention decreases patients’ GHb levels by 0.76% at immediate follow-up, by 0.26% at the 1- to 3-month follow-up and by 0.26% at 4 months of follow-up. They conclude in both this meta-analysis and their previous systemic review (2) that DSME alone moderately but significantly improves GHb levels in the short term but that its long-term effects still need to be determined in a study of randomized controlled intervention.

As part of the Japan Diabetes Complications Study (JDCS), we have been evaluating the long-term effects of DSME . . . [Full Text of this Article]

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