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Outcome analysis of hemoglobin A1c, weight, and blood pressure in a VA diabetes education program
Susan L North1, Glen A Palmer1
1St Cloud VA Health Care System, St Cloud, MN.
Objective:
To determine the effect of a specific diabetes education class (Basics) on hemoglobin A1c values, weight, and systolic blood pressure.
Design:
In this retrospective study, the researchers compared 2 groups of male veterans with a recent diagnosis of type 2 diabetes. One group received diabetes group education (n = 175) over a 4-month period, and the other received standard diabetes management follow-up (n = 184).
Setting:
Outpatient clinic setting in the Midwest.
Interventions:
Basics class compared with standard level of care.
Main Outcome Measures:
Pre- and post-laboratory values for hemoglobin A1c, weight, and systolic blood pressure.
Analysis:
Multivariate analysis of covariance and follow-up univariate statistics for significant differences.
Results:
Findings revealed significant differences in hemoglobin A1c (P < .001) and weight (P < .001) in the treatment group compared with the control group. No significant difference was found in systolic blood pressure readings between the 2 groups. There was a significant difference in weight change between groups, with the treatment group demonstrating greater weight loss.
Conclusions And Implication:
There was an association between participation in the Basics diabetes education curriculum and reduction of hemoglobin A1c values. Some participants also had added benefit of significant weight loss.
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