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Effect of Individualized Education on Dyslipidemia and Glycemic Control in Diabetic Patients

個別衛教對糖尿病患血脂異常控制之效果

摘要


Background and Purpose: To determine how individualized education influences diabetic dyslipidemia patients. Methods: In this intervention trial, 772 diabetes patients with dyslipidemia were enrolled from outpatient clinics over a nine-month period. Three months of individualized education was provided to patients by certified diabetes educators and dietitians. A1C and lipid profiles were checked before and after the education program. Body mass index, age and sex were also recorded. The subjects were categorized into two groups based on whether diabetes was a newly detected condition (n=86) or a preexisting condition (n=686). Lipid profiles and A1C values of the two subgroups before and after the education program were compared by paired t test. Multiple linear regression models were used to clarify the confounding effects of multiple variables on lipids control. Results: Lipid profiles in all subjects showed significant improvement after three months of intervention with the education program. Total cholesterol fell from 213.8±40.6 to 195.2±37.8 mg/dL (p<0.001). Significant reductions were also noted in LDL cholesterol (LDL) (14.8 mg/dL, p<0.001), triglycerides (TG) (13.2 mg/dL, p=0.002), HDL cholesterol (HDL) (1.14 mg/dL, p=0.001), and cholesterol/HDL (0.29, p<0.001). Significantly reduced A1C levels were also noted in patients who underwent the education program (0.55%, p<0.001). After three months of individualized education, reduction of lipid profiles was greater in the newly detected group: newly detected vs. preexisting (Δ cholesterol=-30.30 vs. -17.04 mg/dL, p=0.002); (Δ TG=-50.88 vs. -8.48 mg/dL, p=0.018); (Δ LDL=-21.4 vs. -13.9 mg/dL, p=0.170); (Δ cholesterol/HDL =-0.77 vs. -0.22, p<0.001). Conclusion: Individualized patient education is effective in improving dyslipidemia and glycemic control in diabetes patients, at least in the short-term. Patients with newly detected diabetes and dyslipidemia comorbidity are better candidates for receiving education than patients with pre-existing diabetes.

關鍵字

衛教 血脂異常 糖尿病

並列摘要


Background and Purpose: To determine how individualized education influences diabetic dyslipidemia patients. Methods: In this intervention trial, 772 diabetes patients with dyslipidemia were enrolled from outpatient clinics over a nine-month period. Three months of individualized education was provided to patients by certified diabetes educators and dietitians. A1C and lipid profiles were checked before and after the education program. Body mass index, age and sex were also recorded. The subjects were categorized into two groups based on whether diabetes was a newly detected condition (n=86) or a preexisting condition (n=686). Lipid profiles and A1C values of the two subgroups before and after the education program were compared by paired t test. Multiple linear regression models were used to clarify the confounding effects of multiple variables on lipids control. Results: Lipid profiles in all subjects showed significant improvement after three months of intervention with the education program. Total cholesterol fell from 213.8±40.6 to 195.2±37.8 mg/dL (p<0.001). Significant reductions were also noted in LDL cholesterol (LDL) (14.8 mg/dL, p<0.001), triglycerides (TG) (13.2 mg/dL, p=0.002), HDL cholesterol (HDL) (1.14 mg/dL, p=0.001), and cholesterol/HDL (0.29, p<0.001). Significantly reduced A1C levels were also noted in patients who underwent the education program (0.55%, p<0.001). After three months of individualized education, reduction of lipid profiles was greater in the newly detected group: newly detected vs. preexisting (Δ cholesterol=-30.30 vs. -17.04 mg/dL, p=0.002); (Δ TG=-50.88 vs. -8.48 mg/dL, p=0.018); (Δ LDL=-21.4 vs. -13.9 mg/dL, p=0.170); (Δ cholesterol/HDL =-0.77 vs. -0.22, p<0.001). Conclusion: Individualized patient education is effective in improving dyslipidemia and glycemic control in diabetes patients, at least in the short-term. Patients with newly detected diabetes and dyslipidemia comorbidity are better candidates for receiving education than patients with pre-existing diabetes.

並列關鍵字

Education dyslipidemia diabetes

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