Intervention for African American Adults with type 2 diabetes
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The purpose of this project was to examine outcomes in African American adult patients with type 2 diabetes who received education and diet and exercise services compared to those who did not. Type 2 diabetes accounts for 90-95% of all diabetes cases, and is more prevalent among African Americans. Diabetes is the fifth leading cause of death in the African American community.
The project was a prospective cohort design. A population of 30 African American patients with type 2 diabetes, between the ages of 20-40, was identified in a physician’s office through a review of administrative and laboratory data from the Managed Care database. Fifteen participants received education and diet and exercise services, while 15 participants did not. The intervention was two-fold with emphasis placed on pre- and post-diabetes education knowledge. Diabetes education curriculum was used in each of six sessions that included general diabetes self-care education, diet and exercise. Hemoglobin AIC (HA1C) value levels were measured at baseline and six months.
The participants in the intervention group were found to have better glycemic control than the participants in the non-intervention group. The post-education survey demonstrated greater diabetes self-care knowledge than the pre-education survey. Diabetes and diet and exercise education was associated with lower HA1C levels. Patients given diabetes self-care education and diet and exercise services were more likely to attain glycemic control (HA1C < 7.0%) than those who received no intervention.
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