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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 [Download Article] [Download Certifiate] |