The diabetes nutrition education study randomized controlled trial: a comparative effectiveness study of approaches to nutrition in diabetes self-management education

Bowen, Michael E.; Cavanaugh, Kerri L.; Wolff, Kathleen; Davis, Dianne; Gregory, Rebecca P.; Shintani, Ayumi; Eden, Svetlana; Wallston, Ken; Elasy, Tom; Rothman, Russell L.

doi:10.1016/j.pec.2016.03.017

Cited by 89Diabetes Management and EducationDiabetes Management and ResearchDiabetes Treatment and Management

The diabetes nutrition education study randomized controlled trial: a comparative effectiveness study of approaches to nutrition in diabetes self-management education

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Bowen, Michael E., Cavanaugh, Kerri L., Wolff, Kathleen, Davis, Dianne, Gregory, Rebecca P., Shintani, Ayumi, Eden, Svetlana, Wallston, Ken +2 more·2016·Patient Education and Counseling

DOI 10.1016/j.pec.2016.03.017PMC PMC4931976

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Abstract

Objective To compare the effectiveness of different approaches to nutrition education in diabetes self-management education and support (DSME/S).Methods We randomized 150 adults with type 2 diabetes to either certified diabetes educator (CDE)-delivered DSME/S with carbohydrate gram counting or the modified plate method versus general health education. The primary outcome was change in HbA1C over 6 months.Results At 6 months, HbA1C improved within the plate method [-0.83% (-1.29, -0.33), P<0.001] and carbohydrate counting [-0.63% (-1.03, -0.18), P=0.04] groups but not the control group [P=0.34]. Change in HbA1C from baseline between the control and intervention groups was not significant at 6 months (carbohydrate counting, P=0.36; modified plate method, P=0.08). In a pre-specified subgroup analysis of patients with a baseline HbA1C 7-10%, change in HbA1C from baseline improved in the carbohydrate counting [-0.86% (-1.47, -0.26), P=0.006] and plate method groups [-0.76% (-1.33, -0.19), P=0.01] compared to controls.Conclusion CDE-delivered DSME/S focused on carbohydrate counting or the modified plate method improved glycemic control in patients with an initial HbA1C between 7 and 10%.Practice implications Both carbohydrate counting and the modified plate method improve glycemic control as part of DSME/S.

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An RCT found that two meal-planning approaches (diabetes plate method and carbohydrate counting) were effective in helping achieve improved A1C.
“An RCT found that two meal-planning approaches (diabetes plate method and carbohydrate counting) were effective in helping achieve improved A1C (145).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023 (2023) · cites this paper as [145]

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Authors: Bowen, M. E., Cavanaugh, K. L., Wolff, K., Davis, D., Gregory, R. P., Shintani, A., Eden, S., Wallston, K., Elasy, T., & Rothman, R. L.
Affiliations: The University of Texas Southwestern Medical Center (US)
Vanderbilt University (US)
Vanderbilt University Medical Center (US)
Corresponding author: Rothman, Russell L.
ORCID: Bowen, Michael E.
Cavanaugh, Kerri L.
Shintani, Ayumi
Eden, Svetlana
Elasy, Tom
Rothman, Russell L.
Venue: Patient Education and Counseling
Publisher: Elsevier BV
Published: 2016-08
Volume: 99
Issue: 8
Pages: 1368-1376
ISSN: 0738-3991 (ISSN-L)
DOI: 10.1016/j.pec.2016.03.017
PMC: PMC4931976
OpenAlex: W2299512871
Cited by: 89
References: 47
Citations by year: 2026: 5 · 2025: 9 · 2024: 11 · 2023: 13 · 2022: 6 · 2021: 13 · 2020: 8 · 2019: 10 · 2018: 5 · 2017: 8 · 2016: 1
FWCI: 8.03
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Patient Education and Counseling (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (UL1TR001105, KL2TR001103, UL1TR000445, 5p60dk020593-31)
National Institute of Diabetes and Digestive and Kidney Diseases (K23DK104065, P60-DK020593, K23DK080952, P30DK092986)
National Center for Advancing Translational Sciences
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords: diabetes self-management education and support, type 2 diabetes, nutrition education, carbohydrate counting, glycemic control, HbA1c, certified diabetes educator
MeSH terms: Blood Glucose, Diabetes Mellitus, Type 2, Diet, Diabetic, Dietary Carbohydrates, Female, Glycated Hemoglobin, Humans, Male, Middle Aged, Patient Education as Topic, Self Care, Outcome Assessment, Health Care

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The diabetes nutrition education study randomized controlled trial: a comparative effectiveness study of approaches to nutrition in diabetes self-management education

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