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Diabetes Care, Vol 11, Issue 1 67-71, Copyright © 1988 by American Diabetes Association
Influence of small-group education sessions on glucose homeostasis in NIDDM
I Raz, V Soskolne and P Stein
Department of Medicine, Hadassah University Hospital, Jerusalem, Israel.
In patients with non-insulin-dependent diabetes mellitus (NIDDM), the
influence of knowledge about their disease on the treatment and control of
the disease is not clear. We evaluated the efficacy of educational group
meetings with NIDDM patients on improving their knowledge of the disease
and on disease management. Fifty-one NIDDM patients were randomly assigned
to either intervention or control groups. The intervention group
participated in courses of three weekly lessons presented by a physician,
nurse, and dietitian once every 4 mo. The intervention and control groups
were also followed once every 2 mo in the clinic by the same staff. Medical
treatment remained unchanged during the study. After a 12-mo follow-up of
the intervention group, no significant improvement in their knowledge of
diabetes could be demonstrated. However, mean fasting and postprandial
blood glucose levels and HbA1c improved significantly in comparison with
the control group. The same tendency was evident with the weight and
lipoprotein profile. We conclude that educational group therapy can improve
diabetes control in patients with NIDDM.

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Copyright © 1988 by the American Diabetes Association.
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