The effect of diabetes self-management education on body weight, glycemic control, and other metabolic markers in patients with type 2 diabetes mellitus

Abstract

AIMS: To comprehensively evaluate the effect of a short-term diabetes self-management education (DSME) on metabolic markers and atherosclerotic parameters in patients with type 2 diabetes.METHODS: 76 patients with type 2 diabetes were recruited in this study. They were divided into the intervention group (n = 36) and control group (n = 40). The patients in the intervention group received a 3-month intervention, including an 8-week education on self-management of diabetes mellitus and subsequent 4 weeks of practice of the self-management guidelines. The patients in the control group received standard advice on medical nutrition therapy. Metabolic markers, carotid intima-media thickness (CIMT), and carotid arterial stiffness (CAS) of the patients in both groups were assessed before and after the 3-month intervention.RESULTS: There was a significant reduction in hemoglobin A1c (HbA1c, -0.2 ¡Ó 0.56% versus 0.08 ¡Ó 0.741%; P < 0.05) and body weight (-1.19 ¡Ó 1.39?kg versus -0.61 ¡Ó 2.04?kg; P < 0.05) in the intervention group as compared to the control group. However, no significant improvements were found in other meta