Effectiveness of different patient education/counseling strategies on diabetes self-management & glycemic control

Three papers published in Archives of Internal Medicine looks at the effectiveness of different patient education/counseling strategies on diabetes self-management and glycemic control (hemoglobin A1c [HbA1c] levels).

The real question being asked is “What type of patient education or counseling program will improve glycemic control for patients with diabetes in whom usual diabetes care is failing in high-functioning clinical settings?”

Counseling-based behavior change interventions depend heavily on a patient’s readiness to change and self-efficacy related to diabetes self-management and hence its not surprising that the various interventions only had limited success.

What we need is a way to filter out essential ingredients of the education program that are crucial particularly with regard to the educator counseling, intensity of support provided, and level of individual tailoring.

 

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