Literature Review of Type 2 Diabetes Management and Health Literacy
Open accessAbstract
Objective: The purpose of this literature review was to identify educational approaches addressing low health literacy for people with type 2 diabetes. Low health literacy can lead to poor management of diabetes, low engagement with health care providers, increased hospitalization rates, and higher health care costs. These challenges can be even more profound among minority populations and non-English speakers in the United States. Methods: A literature search and standard data extraction were performed using PubMed, Medline, and EMBASE databases. A total of 1,914 articles were identified, of which 1,858 were excluded based on the inclusion criteria, and 46 were excluded because of a lack of relevance to both diabetes management and health literacy. The remaining 10 articles were reviewed in detail. Results: Patients, including ethnic minorities and non-English speakers, who are engaged in diabetes education and health literacy improvement initiatives and ongoing follow-up showed significant improvement in A1C, medication adherence, medication knowledge, and treatment satisfaction. Clinicians considering implementing new interventions to address diabetes care for patients with low health literacy can use culturally tailored approaches, consider ways to create materials for different learning styles and in different languages, engage community health workers and pharmacists to help with patient education, use patient-centered medication labels, and engage instructors who share cultural and linguistic similarities with patients to provide educational sessions. Conclusion: This literature review identified a variety of interventions that had a positive impact on provider-patient communication, medication adherence, and glycemic control by promoting diabetes self-management through educational efforts to address low health literacy.
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Patient management is important to improve HbA1c levels.
“Patient management is important to improve HbA1c levels.41”
From Effectiveness of synchronous teleconsultation for patients with type 2 diabetes mellitus: a systematic review and meta-analysis (2023) · cites this paper as [41]
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- Authors
- Alsaedi, R., & McKeirnan, K.
- Affiliations
- Washington State University Spokane (US)
- Corresponding author
- McKeirnan, Kimberly
- ORCID
- McKeirnan, Kimberly
- Venue
- Diabetes Spectrum
- Publisher
- American Diabetes Association
- Published
- 2021-07-27
- Volume
- 34
- Issue
- 4
- Pages
- 399-406
- ISSN
- 1040-9165 (ISSN-L)
- 1944-7353
- PMC
- PMC8603116
- OpenAlex
- W3185578418
- Cited by
- 38
- References
- 33
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 12 · 2023: 5 · 2022: 3
- FWCI
- 3.73
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Spectrum (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- type 2 diabetes, health literacy, diabetes self-management education, medication adherence, glycemic control, HbA1c, culturally tailored interventions, community health workers, minority groups, non-English speakers, provider-patient communication, patient education
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