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Randomized, Controlled Trial of Diabetic Patient Education: Improved Knowledge Without Improved Metabolic Status
Abstract
We randomized 749 insulin-treated patients on the rolls of the Mount Sinai Medical Center Diabetes Clinic in a controlled trial of diabetic patient education; 345 agreed to participate, of whom 165 were assigned to the education group and 180 to the control group. Cognitive scores increased from 5.3 ± 1.6 to 5.8 ± 1.6 in the education group, but there was no change in the control group, whose score was 5.3 ± 1.7 before and after the intervention (P = .0073). HbA1c fell from 6.8 ± 2.1 to 6.1 ± 2.0% in the education group and from 6.6 ± 2.0 to 6.3 ± 2.0% in the control group, an insignificant difference (P = . 1995). The fasting blood glucose decreased from 223 ± 94 to 179 ± 73 mg/dl in the education group and from 199 ± 81 to 185 ± 76 mg/dl in the controls (P = .1983). Triglycerides, high- and low-density lipoprotein cholesterol, and insulin dosage also failed to show significant variation among groups.
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Citations
Cited by
Effectiveness of Self-Management Training in Type 2 Diabetes
Norris, S. L., Engelgau, M. M., & Venkat Narayan, K. M. (2001) · Diabetes Care · doi:10.2337/diacare.24.3.561 · Cited by 1,846
Self-Management Education for Adults With Type 2 Diabetes
Norris, S. L., Lau, J., Smith, S. J., Schmid, C. H., & Engelgau, M. M. (2002) · Diabetes Care · doi:10.2337/diacare.25.7.1159 · Cited by 1,750
Warsi, A., Wang, P. S., LaValley, M. P., Avorn, J., & Solomon, D. H. (2004) · Archives of Internal Medicine · doi:10.1001/archinte.164.15.1641 · Cited by 732
Reduction in saturated fat intake for cardiovascular disease
Hooper, L., Martin, N., Abdelhamid, A., & Davey Smith, G. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011737 · Cited by 704
Grey, M., Boland, E. A., Davidson, M., Li, J., & Tamborlane, W. V. (2000) · The Journal of Pediatrics · doi:10.1067/mpd.2000.106568 · Cited by 503
Metadata
- Authors
- Bloomgarden, Z. T., Karmally, W., Metzger, M. J., Brothers, M., Nechemias, C., Bookman, J., Faierman, D., Ginsberg-Fellner, F., Rayfield, E., & Brown, W. V.
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 1987-05-01
- Volume
- 10
- Issue
- 3
- Pages
- 263-272
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2039948944
- Cited by
- 249
- References
- 0
- FWCI
- 7.30
- Type
- journal article
- Language
- en
- Open access
- closed
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- Bloomgarden, Z. T., Karmally, W., Metzger, M. J., Brothers, M., Nechemias, C., Bookman, J., Faierman, D., Ginsberg-Fellner, F., Rayfield, E., & Brown, W. V. (1987). Randomized, Controlled Trial of Diabetic Patient Education: Improved Knowledge Without Improved Metabolic Status. Diabetes Care. https://doi.org/10.2337/diacare.10.3.263
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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