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

Yuan C, Lai CW, Chan LW, Chow M, Law HK, Ying M - J Diabetes Res (2014)

Bottom Line: 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.There was a significant reduction in hemoglobin A1c (HbA1c, -0.2 ± 0.56% versus 0.08 ± 0.741%; P < 0.05) and body weight (-1.19 ± 1.39 kg versus -0.61 ± 2.04 kg; P < 0.05) in the intervention group as compared to the control group.However, no significant improvements were found in other metabolic markers, CIMT and CAS (P > 0.05).

View Article: PubMed Central - PubMed

Affiliation: Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.

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 ± 0.56% versus 0.08 ± 0.741%; P < 0.05) and body weight (-1.19 ± 1.39 kg versus -0.61 ± 2.04 kg; P < 0.05) in the intervention group as compared to the control group. However, no significant improvements were found in other metabolic markers, CIMT and CAS (P > 0.05).

Conclusions: DSME can improve HbA1c and body weight in patients with type 2 diabetes.

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Related in: MedlinePlus

The assessment of intima-media thickness and arterial stiffness in the carotid artery. (a) Radiofrequency-based quality intima-media thickness. (b) Radiofrequency-based quality arterial stiffness. The arrows indicate the inferior end of the carotid bulb and the double-arrow lines show a distance of 1 cm.
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fig1: The assessment of intima-media thickness and arterial stiffness in the carotid artery. (a) Radiofrequency-based quality intima-media thickness. (b) Radiofrequency-based quality arterial stiffness. The arrows indicate the inferior end of the carotid bulb and the double-arrow lines show a distance of 1 cm.

Mentions: The CIMT was evaluated with longitudinal scans of the CCA. CIMT was measured on the far wall over a 10 mm segment of the CCA from a point 10 mm proximal to the inferior end of the carotid bifurcation (Figure 1(a)). During the longitudinal scanning of the CCA, the transducer was slightly angled medially or laterally and rotated in clockwise or anticlockwise direction until a scan plane, which clearly demonstrated the carotid intima and media layers, was obtained. CIMT was measured using an automated quantification programme of the ultrasound unit, radiofrequency-based quality intima-media thickness (RF-QIMT) (Esaote, Genoa, Italy), which automatically identified the lumen-intima interface and media-adventitia interface of the CCA for measuring the CIMT (Figure 1(a)).


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

Yuan C, Lai CW, Chan LW, Chow M, Law HK, Ying M - J Diabetes Res (2014)

The assessment of intima-media thickness and arterial stiffness in the carotid artery. (a) Radiofrequency-based quality intima-media thickness. (b) Radiofrequency-based quality arterial stiffness. The arrows indicate the inferior end of the carotid bulb and the double-arrow lines show a distance of 1 cm.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4127232&req=5

fig1: The assessment of intima-media thickness and arterial stiffness in the carotid artery. (a) Radiofrequency-based quality intima-media thickness. (b) Radiofrequency-based quality arterial stiffness. The arrows indicate the inferior end of the carotid bulb and the double-arrow lines show a distance of 1 cm.
Mentions: The CIMT was evaluated with longitudinal scans of the CCA. CIMT was measured on the far wall over a 10 mm segment of the CCA from a point 10 mm proximal to the inferior end of the carotid bifurcation (Figure 1(a)). During the longitudinal scanning of the CCA, the transducer was slightly angled medially or laterally and rotated in clockwise or anticlockwise direction until a scan plane, which clearly demonstrated the carotid intima and media layers, was obtained. CIMT was measured using an automated quantification programme of the ultrasound unit, radiofrequency-based quality intima-media thickness (RF-QIMT) (Esaote, Genoa, Italy), which automatically identified the lumen-intima interface and media-adventitia interface of the CCA for measuring the CIMT (Figure 1(a)).

Bottom Line: 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.There was a significant reduction in hemoglobin A1c (HbA1c, -0.2 ± 0.56% versus 0.08 ± 0.741%; P < 0.05) and body weight (-1.19 ± 1.39 kg versus -0.61 ± 2.04 kg; P < 0.05) in the intervention group as compared to the control group.However, no significant improvements were found in other metabolic markers, CIMT and CAS (P > 0.05).

View Article: PubMed Central - PubMed

Affiliation: Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.

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 ± 0.56% versus 0.08 ± 0.741%; P < 0.05) and body weight (-1.19 ± 1.39 kg versus -0.61 ± 2.04 kg; P < 0.05) in the intervention group as compared to the control group. However, no significant improvements were found in other metabolic markers, CIMT and CAS (P > 0.05).

Conclusions: DSME can improve HbA1c and body weight in patients with type 2 diabetes.

Show MeSH
Related in: MedlinePlus