title: The impact of formal diabetes education on the preventive health practices and behaviors of persons with type 2 diabetes.
abstract: BACKGROUND
  Diabetes-related morbidity and mortality are primarily attributable to complications such as heart disease, stroke, lower extremity amputation, kidney disease, blindness, and visual impairment, many of which potentially can be delayed or prevented.
  
  
  METHODS
  We examined the association of diabetes self-management education (DSME) with preventive health practices and behaviors among 22,682 persons with type 2 diabetes using data from the 2001 and 2002 Behavioral Risk Factor Surveillance System (BRFSS). BRFSS is an ongoing, state-based, random-digit-dialed telephone survey of noninstitutionalized adults aged > or = 18 years.
  
  
  RESULTS
  Approximately 48% of all adults with type 2 diabetes had never attended a DSME course. Among both diabetic persons who used insulin and those who did not, persons who received DSME were significantly more likely than those who had not received training to be physically active, to have received an annual dilated eye exam and flu vaccine, to have received a pneumococcal vaccine, to have checked their blood sugar daily, and to have had a physician or other health professional check their feet for sores or irritations and their hemoglobin A1C level in the past year.
  
  
  CONCLUSIONS
  These data indicate the importance of DSME in the promotion of health practices that could prevent or delay potential diabetes complications among persons with type 2 diabetes.
authors.affiliation: Division of Adult and Community Health, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Mailstop K-66, Atlanta, GA 30341, USA. tws2@cdc.gov
authors.forename: Tara W
authors.initials: TW
authors.lastname: Strine
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Okoro
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Chapman
authors.forename: Gloria L A
authors.initials: GL
authors.lastname: Beckles
authors.forename: Lina
authors.initials: L
authors.lastname: Balluz
authors.forename: Ali H
authors.initials: AH
authors.lastname: Mokdad
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001294:Attitude to Health; D015190:Blood Glucose Self-Monitoring; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D048909:Diabetes Complications / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006266:Health Education; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D011322:Primary Prevention / Q000193:education*; D011336:Probability; D018570:Risk Assessment; D012309:Risk-Taking; D012720:Severity of Illness Index; D012737:Sex Factors; D011795:Surveys and Questionnaires