Abstract

EFFECTIVENESS OF PRIMARY CARE PHYSICIAN AND REGISTERED PHARMACIST LED DIABETES SELF MANAGEMENT EDUCATION ON GLYCOSYLATED HEMOGLOBIN REDUCTION BY INDIVIDUAL SETTING IN BANGLADESH PROSPECTS

Md. Zakir Hossain Akon, Md. Taleb Hossain*, Md. Saiful Islam, Hasnat Jahan, Md. Rafiquzzaman, Sukalyan Kumar Kundu

ABSTRACT

Diabetes mellitus requires lifelong pharmacological and non pharmacological treatment to prevent complications. Many persons with Type 2 diabetes do not achieve optimal control due to lack of knowledge about diabetes self management education.To implement diabetes self-management education in primary care to provide evidence base intervention to improve processes and measure outcomes. A prospective randomized comparative study measured HbA1c at base line, 3 months and after 6 months and other outcomes at the same time to determine the effectiveness of diabetic education. A total of 60 subjects (n-60) were finally recruited for individual educational setting (n-25) and usual care (n-35). Intervention group received diabetic education according to ADA and AADE approved guide line in four sequential sessions delivered at consistent time of intervals over a period of 06 months. HbA1c decreased from 8.70  1.2 at base line to7.34  0.5 (P<0. 01) after 6 months in case of intervention group. In case of usual care HbA1c decreased from 8.30  1.6% at base line to 8.10  0.9% after6 months (<0.10). The study confirms the effectiveness of diabetic education on improving health outcomes.

Keywords: Type 2 diabetes, diabetes self management education, HbA1c, ADA, AADE