The Effect of Individualized Education on Glycemic Control for Diabetic Patients

個別衛教對糖尿病患血糖控制之效果

陳春森(Chung-Sen Chen) ； 廖國盟(Kuo-Meng Liao)

《北市醫學雜誌》 2卷5期 (2005/05) Pp. 454-464

https://doi.org/10.6200/TCMJ.2005.2.5.06

摘要

Background and Purpose: To determine the effect of individualized education on glycemic control for diabetes. Methods: This prospective intervention trial consecutively gathered 1322 diabetic patients from outpatient clinics over a nine-month period. Individualized education program of 3 months duration was provided to patients by certified dietitians and diabetes educators. A1C, serum creatinine, alanine aminotransferase, and lipid profiles were checked immediately before and after administering the training program. The subjects were categorized into two groups based on either a newly detected condition of diabetes or a preexisting condition of diabetes: newly detected group (n=136), and preexisting group (n=l186). Values of A1C before and after the training program were compared by paired t tests among subgroups. Multiple linear regression models were used to correct for the confounding effects of multiple variables. Results: The A1C of all subjects fell from 8.19±2.01% to 7.72±1.65% with the intervention of individualized education over three months (p＜0.001). A1C fell 1.87% in the newly detected group (p＜0.00l) and 0.31% in the preexisting group (p＜0.00l). After adjusting for the confounding effects of multiple variables, the first group demonstrated more pronounced effects in the reduction of A1C than in the second group (-1.52%, p＜0.00l). In all subjects we found newly detected diabetes in males, old age, complication with retinopathy, and high baseline A1C were associated with a positive response to the training program. Conclusion: Individualized patient education improves of glycemic control in diabetic patients. The higher the baseline A1C values of patients, the more A1C is reduced after the training program is administered.

關鍵字

衛教 ； 血糖控制 ； 糖尿病

並列摘要

Background and Purpose: To determine the effect of individualized education on glycemic control for diabetes. Methods: This prospective intervention trial consecutively gathered 1322 diabetic patients from outpatient clinics over a nine-month period. Individualized education program of 3 months duration was provided to patients by certified dietitians and diabetes educators. A1C, serum creatinine, alanine aminotransferase, and lipid profiles were checked immediately before and after administering the training program. The subjects were categorized into two groups based on either a newly detected condition of diabetes or a preexisting condition of diabetes: newly detected group (n=136), and preexisting group (n=l186). Values of A1C before and after the training program were compared by paired t tests among subgroups. Multiple linear regression models were used to correct for the confounding effects of multiple variables. Results: The A1C of all subjects fell from 8.19±2.01% to 7.72±1.65% with the intervention of individualized education over three months (p＜0.001). A1C fell 1.87% in the newly detected group (p＜0.00l) and 0.31% in the preexisting group (p＜0.00l). After adjusting for the confounding effects of multiple variables, the first group demonstrated more pronounced effects in the reduction of A1C than in the second group (-1.52%, p＜0.00l). In all subjects we found newly detected diabetes in males, old age, complication with retinopathy, and high baseline A1C were associated with a positive response to the training program. Conclusion: Individualized patient education improves of glycemic control in diabetic patients. The higher the baseline A1C values of patients, the more A1C is reduced after the training program is administered.

並列關鍵字

Education ； glycemic control ； diabetes