title: Culturally competent diabetic education to lower hemoglobin A1c levels of diabetic patients: Está mejor.
abstract: This study assessed the effectiveness of a modified diabetic education class in lowering the hemoglobin Alc (HbA1c) levels of diabetic patients. Modifications included having bilingual educators facilitate the class, providing food models common to Mexican-American diets, and supplying education materials in Spanish. We reviewed the charts of 100 diabetic patients who had been scheduled to attend the diabetic class in a community health center. A significant difference (P=.001) was found between the baseline and follow-up levels of HbA1 c in patients who attended the class (who showed a mean difference of 1.81 mm/dL) compared with those who did not (who showed a mean difference of only 0.63 mm/dL, which was not statistically significant). No significant difference (P>.05) was found in the baseline HbA1c levels of those who attended the class (8.33 mm/dL) compared with those who did not attend (8.8 mm/dL). This study showed that the modified class was effective in lowering the HbA1c of diabetic patients. The diabetic class was underused, with only 54% attendance. Through this study, we suggest that health care providers should implement strategies by actively reaching out and tailoring education to the needs of their patients.
authors: Department of Family and Community Medicine, Texas Tech University, Odessa, TX 79763, USA. edgardeperalta@yahoo.com
authors: Edgar
authors: E
authors: de Peralta
authors: Kaushal
authors: K
authors: Patel
authors: Christine
authors: C
authors: Wan
authors: Bernadette
authors: B
authors: Fuentes
authors: David
authors: D
authors: Baldwin
mesh_terms: D016022:Case-Control Studies; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy*; D003927:Diet, Diabetic; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D008297:Male; D017058:Mexican Americans; D008875:Middle Aged; D010353:Patient Education as Topic; D013781:Texas
chemical_list: D006442:Glycated Hemoglobin