title: Diabetes self-management training program in a community clinic improves patient outcomes at modest cost.
abstract: Stringent glycemic control reduces complications and health care costs for people with diabetes. This study assessed the effectiveness of a diabetes self-management training (DSMT) program at a community clinic. Education and a glucometer were provided to 70 people with type 2 diabetes in a 4-hour class, followed by individual dietitian consults and monthly support meetings. Most participants were Hispanic or African American with mean age of 49+/-10 years and mean body mass index of 34+/-9. Body weight, glycosylated hemoglobin (A1C), medications, and follow-up attendance were monitored. After 2 to 12 months of program participation, mean A1C improved from 9.7+/-2.4% to 8.2+/-2.0% (P<.001); 61% experienced positive medication outcomes. The cost of community clinic DSMT was approximately $280 per person per year, $185 for each point reduction in A1C. This study indicated that community clinic DSMT can improve glycemic control at modest cost.
authors.affiliation: Department of Human Ecology, University of Texas at Austin, 200 W. 24th Street, Austin, TX 78705, USA.
authors.forename: Nicole A
authors.initials: NA
authors.lastname: Banister
authors.forename: Susan T
authors.initials: ST
authors.lastname: Jastrow
authors.forename: Valerie
authors.initials: V
authors.lastname: Hodges
authors.forename: Roseann
authors.initials: R
authors.lastname: Loop
authors.forename: M Beth
authors.initials: MB
authors.lastname: Gillham
mesh_terms: D044383:Black People / Q000193:education; D015190:Blood Glucose Self-Monitoring / Q000379:methods*; D015992:Body Mass Index; D003153:Community Health Services / Q000458:organization & administration*; D003362:Cost-Benefit Analysis; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006630:Hispanic or Latino / Q000193:education; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D011203:Poverty; D015397:Program Evaluation; D012648:Self Care; D001741:Black or African American
chemical_list: D006442:Glycated Hemoglobin