Patient Education in Managing Diabetes

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  • The most important measure for long-term control of mean blood glucose is HbA1c, which is also strongly linked to the prevalence of long-term complications. Group education programs for people with type 2 diabetes, led by people with expertise in the subject matter who are well versed in the educational methods of the programme, can substantially reduce HbA1c after 1 to 2 years. Individual education for people with type 2 diabetes yields a small reducation in HbA1c after 1 year. In estimating socioeconomic costs, SBU found that group education costs more than individual education due to more education sessions over longer periods and the resulting differences in time and travel costs for participants. However, the costs art low in relation to the effect that group education has on HbA1c.
  • The scientific literature reveals no differences in effects on HbA1c between usual care and motivational interviewing methods (MI, AMI, and MET) in monitoring people with diabetes up to 1 year.
  • It is essential to study the effects on HbA1c and quality of lift both from individual- and group-based education in patients with type 1 diabetes.
  • Controlled trials are needed to study the effects on HbA1c and quality of life resulting from behavioural-oriented patient education through support programmes based on cognitive behavioural therapy (CBT) and motivational interviewing.

How to cite this report: SBU. Patient education in managing diabetes. Stockholm: Swedish Council on Health Technology Assessment (SBU); 2009. SBU report no 195 (in Swedish).

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SBU Assesses Systematic literature reviews of scientific articles form the foundation for this series of reports (ISSN 1400-1403). Groups of experts in the subject areas develop the reports. These experts define the research issues, evaluate the quality of research, and discuss the overall findings. Research issues are addressed from perspectives of ethics and health economics, and the reports grade the evidence to indicate the strength of the body of scientific literature. The reports are assessed internally by SBU and by external experts in the subject areas.

Published: 4/29/2009
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Report no: 195