title: [The effect of patient education on glycemic status and self-monitoring activity in type 2 diabetic patients recently switched to basal insulin analogue treatment].
abstract: BACKGROUND
  In addition to medications, patient education is thought to have important beneficial effects in the management of patients with type 2 diabetes mellitus.
  
  
  OBJECTIVE
  The aim of the authors was to evaluate the additional effect of patient education on glycemic control and some aspects of lifestyle in a non-interventional study.
  
  
  METHODS
  Patients between the ages of 18 and 75 were involved. Study sites which provided standardized education program recruited educated patients, while sites which provided diabetes counseling recruited control patients.
  
  
  RESULTS
  Patients included in the educated group were younger, had an earlier detection of diabetes, and had better baseline glycemic control. Changes of HbA1c levels in the control and educated group arms were -1.41% and -1.23%, (p = 0.277) and the changes of fasting blood glucose levels were -1.89 mmol/L and -1.88 mmol/L (p = 0.854) in the control and educated groups, respectively. The changes in postprandial glucose levels were significantly greater in the control group (-2.88 mmol/L vs. -2.26 mmol/L in the educated group, p = 0.010). Body mass index in the control group did not actually change between baseline and end of study, but it decreased significantly in the educated group. In the educated group the number of self-monitoring days and the patients' physical activity increased between education sessions 1 and 3.
  
  
  CONCLUSIONS
  The possible reason for baseline differences between the two groups was that younger and more motivated patients with better glycemic control tended to join the education program. Education was associated with beneficial body mass changes but not with improvement in glycemic status. Improved self-monitoring and physical activity can be documented in the group of educated patients.
authors.affiliation: Petz Aladár Megyei Oktató Kórház IV. Belgyógyászati Osztály Győr Vasvári Pál u. 2-4. 9024.
authors.forename: Tibor
authors.initials: T
authors.lastname: Hidvégi
authors.affiliation: Medico-Eco Egészségügyi Szolgáltató Budapest.
authors.forename: Gábor
authors.initials: G
authors.lastname: Kovács
mesh_terms: D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000378:metabolism; D015190:Blood Glucose Self-Monitoring; D015992:Body Mass Index; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000188:drug therapy / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007003:Hypoglycemia / Q000139:chemically induced; D007004:Hypoglycemic Agents / Q000008:administration & dosage* / Q000009:adverse effects; D007328:Insulin / Q000031:analogs & derivatives; D000069036:Insulin Glargine; D049528:Insulin, Long-Acting / Q000008:administration & dosage* / Q000009:adverse effects; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D010353:Patient Education as Topic; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin; D000069036:Insulin Glargine; D049528:Insulin, Long-Acting; C517652:hemoglobin A1c protein, human
keywords: betegedukáció; cukorbetegség; diabetes mellitus; glycemic control; life-style; patient education; vércukorháztartás kontrollja; életmód