The Long-Term Effects of Self-Management Education for Patients With Type 2 Diabetes on Glycemic Control
Response to Norris et al.
- Hirohito Sone, MD, PhD, FACP1,
- Hideki Ito, MD, PHD2,
- Yasushi Saito, MD, PHD3,
- Hidetoshi Yamashita, MD, PHD4,
- Shun Ishibashi, MD, PHD5,
- Shigehiro Katayama, MD, PHD6,
- Ryuzo Abe, MD, PHD7,
- Yasuo Ohashi, PHD8,
- Yasuo Akanuma, MD, PHD9,
- Nobuhiro Yamada, MD, PHD1 and
- Japan Diabetes Complication Study Group
- 1Department of Internal Medicine, Institute of Clinical Medicine, University of Tsukuba, Tsukuba, Japan
- 2Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
- 3Second Department of Interenal Medicine, School of Medicine, Chiba University, Chiba, Japan
- 4Department of Ophtalmology, School of Medicine, Yamagata University, Yamagata, Japan
- 5Department of Internal Medicine, Jichi Medical College, Tochigi, Japan
- 6Fourth Department of Internal Medicine, Saitama Medical College, Saitama, Japan
- 7Ohta Nishinouchi Hospital, Koriyama, Fukushima, Japan
- 8Department of Biostatistics/Epidemiology, School of Health Sciences and Nursing, University of Tokyo, Tokyo, Japan
- 9Institute for Diabetes Care and Research, Asahi Life Foundation, Tokyo, Japan
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 for >5 …
