title: Impact of self management on metabolic control indicators of diabetes patients.
abstract: BACKGROUND
  Patients with diabetes play an important role in management of their illness. They should be involved in the intervention program to be able to improve their quality of life. This study investigated the effect of a self-management program based on 5A (assess, advise, agree, assist, arrange) model on metabolic control indicators of diabetic patients.
  
  
  METHODS
  In this randomized, controlled trial, 70 diabetic insulin dependent patients who referred to Nader Kazemi clinic in Shiraz participated. They were randomly assigned to two groups of experiment and control. Then a self-management program based on 5A model was performed for the experiment group during 3-mounths and the indicators of metabolic control including hemoglobin A1c, cholesterol, triglyceride and also body mass index were measured pre- and post- intervention in both groups. Data were analyzed using SPSS ver 11.5.
  
  
  RESULTS
  Data analysis revealed a significant reduction in mean fasting blood sugar (69 units) and HbA1c (1.16 units) in the experimental group . Pre- to post-changes in hemoglobin A1c, fasting blood sugar, and high density lipoprotein were significant between the two groups of study. However, there was no significant difference in cholesterol, triglyceride, low-density lipoprotein, and body mass index between the two groups.
  
  
  CONCLUSIONS
  Regarding the results, it can be concluded that a 3-month self-management program based on 5A model is effective in reducing the fasting blood sugar, hemoglobin A1c. Application of self management program based on 5A model in diabetic clinics is recommended.
authors.affiliation: Fatemeh (PBUH) School of Nursing & Midwifery, Shiraz University of Medical Sciences, Zand blvd, Po, Box 71345-1359, 71936-13119, Shiraz, Iran. moattarm@sums.ac.ir.
authors.forename: Marzieh
authors.initials: M
authors.lastname: Moattari
authors.forename: Akram
authors.initials: A
authors.lastname: Ghobadi
authors.forename: Parvin
authors.initials: P
authors.lastname: Beigi
authors.forename: Gholamreza
authors.initials: G
authors.lastname: Pishdad