Monday, May 6, 2013

Nurse-Led Program Helps Improve Diabetes Parameters

A study presented at the American Association of Clinical Endocrinologists and reported on in MedPage Today showed that a Diabetes Self-Management Training program administered by certified diabetes nurse educators helped patients lower their fasting home glucose levels and reduce their glycosylated hemoglobin A1c (HbA1c). The latter at higher levels than a control group who received only diabetes titration instruction.

The program was administered in a community outpatient clinic. Eighty-four patients received titration instruction and of those 45 also received Diabetes Self-Management Training. While both experienced improvements in the key parameters, those who had the second intervention had an additional 1.92 percent decrease in HbA1c levels.

An INQRI study recently published in the Journal of Health Disparities Research and Practice and conducted by a research team led by Robin Whittemore and Alana Rosenberg underscored the difficulties of ensuring adherence to diabetes prevention programs. The study highlights the need for culturally relevant programs for public housing residents that include behavioral and psychosocial support.

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