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Effectiveness of dietitian‐led diabetes management program on glycemic and diet control after a 2 year intervention in primary care in Taiwan
Author(s) -
Sung Yiching,
Lin Chia Hui,
Pai Hsiuhua,
Hsu ChihCheng,
Shin Shyi Jang,
Huang MengChuan
Publication year - 2011
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.25.1_supplement.971.13
Subject(s) - medicine , glycemic , diabetes mellitus , intervention (counseling) , primary care , diabetes management , type 2 diabetes , hemoglobin a , physical therapy , family medicine , nursing , endocrinology
Objective The aim of this study was to evaluate effectiveness of dietitian‐led diabetes management program on glycemic and diet control after a 2 year intervention in primary care clinics in Taiwan. Methods At baseline, we randomly assigned adult patients with type 2 diabetes to a routine care control (n=75) or a dietitian‐led intervention group (n=79) receiving diabetic self‐management education every 3 months. Results After 2 year intervention, completion rates were 77% (control: n=43; intervention: n=48). Hemoglobin (HbA1c %) were significantly different between baseline and 2 year only in intervention patients with baseline HbA1c ¡Ù7%, changes of HbA1c also correlated significantly (r=0.365, p=0.016) with carbohydrate intake. However, HbA1c did not improve significantly in control subjects regardless of entry HbA1c levels. Conclusion On‐site dietitian‐led management of diabetes can improve glycemic control in patients with poorly managed type 2 diabetes in primary care setting in Taiwan.