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The impact of diabetes education on blood glucose self‐monitoring among older adults
Author(s) -
Millar Adam,
CauchDudek Karen,
Shah Baiju R.
Publication year - 2010
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/j.1365-2753.2009.01195.x
Subject(s) - medicine , diabetes mellitus , attendance , medical prescription , confidence interval , odds ratio , population , diabetes management , cross sectional study , primary care , type 2 diabetes , family medicine , nursing , environmental health , endocrinology , pathology , economics , economic growth
Objectives To determine whether attending diabetes education is associated with blood glucose self‐monitoring among unselected older adults in routine clinical care. Method A cross‐sectional population‐based study was carried out on 15 190 people with diabetes aged 65–79 years. Subjects were identified using a registry of doctor‐diagnosed diabetes derived from administrative data, and attendance at diabetes education centres (DECs) was determined from a separate registry of DEC utilization for 2006. Outcomes were derived using administrative data. The primary outcome was prescriptions filled for glucose self‐monitoring supplies. The secondary outcomes were prescriptions for antihypertensive drugs, prescriptions for lipid‐lowering drugs and eye examinations. Results DEC attendance was associated with glucose self‐monitoring, after adjusting for baseline differences between attendees and non‐attendees (adjusted odds ratio 6.45, 95% confidence interval 5.61 to 7.42). All of the secondary outcomes were also independently associated with DEC attendance. Conclusions This study suggests that diabetes education is associated with self‐management behaviour in real‐world clinical care. These findings support the effectiveness of self‐management education programmes to increase self‐care behaviours.