Specialized Self-Assessment Program Improved Glycemic Control

A specialized self-assessment program successfully lowered HbA1c and helped patients with uncontrolled type 2 diabetes set appropriate goals for glycemic control, according to data presented in a poster at the American Association of Diabetes Educators 35th Annual Meeting. Certified diabetes educators at KMC Diabetes and Nutrition Center in Dayton, Ohio recruited 34 patients with uncontrolled blood glucose to participate in the program. Each individual completed a four-page leading assessment form, and attended two one-hour individual sessions, one week apart, with experienced registered nurses, certified diabetes educators and registered dieticians. There, the educators and patients collaborated to set behavior goals, which were reset when necessary, and record blood glucose and food consumption between sessions. Follow-up was on an as-needed basis.

Eighty-three percent of the patients experienced improvements in HbA1c. The average decrease was 1.44% and 30% of patients reached the target goal of <7%. The majority of patients (n=20) said the sessions were helpful.

The educators concluded that a specialized assessment form can assist patients in controlling blood glucose and self-management, as 50% to 80% of patients lack knowledge and skill in diabetes self-management.

When using a specialized assessment form in the future, the educators recommended continued follow-up and minor revisions; collaboration between patients and staff; and marketing program results to physicians.

Kunkel N, Marcum A and Peppard C. Bridging patient and educator worlds: targeting out-of-control diabetes. GP16. Presented at: AADE 35th Annual Meeting; Aug. 6-9, 2008; Washington, D.C.