PROMOTING ACCESS TO AFRICAN RESEARCH

Ethiopian Journal of Health Sciences

Log in or Register to get access to full text downloads.

Remember me or Register



Adherence to two methods of education and metabolic control in Type 2 diabetics

VRG Herrera, HM Zerón, MRM Alcántara

Abstract


BACKGROUND: Education in diabetes optimizes metabolic control, prevents acute and chronic complications, and improves quality of life. Our main objective was to evaluate if a better metabolic control is achieved in diabetic patients undergoing a program of intensive interactive care than in those with traditional care and written information.
METHODS: Patients with type 2 diabetes mellitus (T2DM), aged 20-60 years, education level at least of primary school, serum creatinine . 2.5 mg/dl, self-sufficient and HbA1c . 7.1% were allocated in two groups of education, 1) minimal education (MEG) and 2) full education (FEG). The MEG patients followed predefined diet; FEG patients chose the diet by selecting foods from each group in a list of matches, teaching them to count nutrients, kilocalories (kcal) and percentage of nutrients.
RESULTS: A follow-up of 31 patients in each group was obtained. The proportion of patients who had initial adherence was 13.33% in the MEG group and 9.67% in the FEG group while, at the end of the study, these percentages were of 73.3% and 58.38% respectively. The final HbA1c decreased in both groups, with or without good adherence. The FEG group had a higher decline in the values of cholesterol (p = 0.036) and LDL (p = 0.002) than the MEG group.
CONCLUSION: Education programs in T2DM contribute to a decrease in HbA1c within six months, but an intensive program is more effective in reducing cholesterol and LDL.


KEYWORDS: diabetes mellitus, education, metabolic control.




http://dx.doi.org/10.4314/ejhs.v25i2.9
AJOL African Journals Online