Association between participation in a brief diabetes education programme and glycaemic control in adults with newly diagnosed diabetes. Issue 12 (26th June 2014)

• Record Type: Journal Article
• Authors: Weaver, R. G.; Hemmelgarn, B. R.; Rabi, D. M.; Sargious, P. M.; Edwards, A. L.; Manns, B. J.; Tonelli, M.; James, M. T.
• Is Part Of: Diabetic medicine. Volume 31:Issue 12(2014:Dec.)
• Page Start: 1610
• Page End: 1614
• Publication Date: 2014-06-26
• Subjects: Diabetes -- Periodicals; 616.462
• DOI: 10.1111/dme.12513
• Languages: English
• ISSNs: 0742-3071

Abstract

<abstract abstract-type="main" id="dme12513-abs-0001"> <title>Abstract</title> <sec id="dme12513-sec-0001" sec-type="section"> <title>Aims</title> <p>To determine the association between participation in a brief introductory didactic diabetes education programme and change in HbA<sub>1c</sub> among individuals with newly diagnosed diabetes.</p> </sec> <sec id="dme12513-sec-0002" sec-type="section"> <title>Methods</title> <p>We identified a population‐based cohort of adults newly diagnosed with diabetes between October 2005 and June 2008 in Calgary, Canada, and conducted a retrospective cohort study by linking administrative and laboratory data with programme attendance data. We matched individuals who attended the programme within the first 6 months after diagnosis with those who did not attend, based on their propensity scores. We measured the change in HbA<sub>1c</sub> between time of diagnosis and 6–18 months later to determine the association between programme participation and change in HbA<sub>1c</sub>.</p> </sec> <sec id="dme12513-sec-0003" sec-type="section"> <title>Results</title> <p>HbA<sub>1c</sub> was measured at baseline and follow‐up for 7793 individuals, including 803 programme participants. After propensity score matching, programme participation was associated with a significantly greater adjusted mean reduction in HbA<sub>1c</sub> between baseline and follow‐up of 3.3 mmol/mol (95% CI 2.2–4.3) or 0.30% (95% CI 0.20–0.39). There was a significant interaction between baseline HbA<sub>1c</sub> and programme participation—the difference in adjusted mean reduction in HbA<sub>1c</sub> associated with programme participation ranged from 2.7 mmol/mol (0.25%) at baseline HbA<sub>1c</sub> of 53 mmol/mol (7%) to 6.2 mmol/mol (0.56%) at baseline HbA<sub>1c</sub> of 97 mmol/mol (11%).</p> </sec> <sec id="dme12513-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Despite its brevity, participation in a diabetes education programme was associated with an additional reduction in HbA<sub>1c</sub> in newly diagnosed people that was comparable with that reported in trials of programmes targeted at those with prevalent diabetes.</p> </sec> </abstract>