Related Experiment Video
Updated: Mar 15, 2026
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Effectiveness of a community-based diabetes self-management education (DSME) program in a rural agricultural setting
Elizabeth Paz-Pacheco1, Mark Anthony Sandoval1, Gregory J R Ardena1
11Section of Endocrinology,Diabetes and Metabolism,Department of Medicine,College of Medicine and Philippine General Hospital,University of the Philippines Manila,Manila,Philippines.
Abstract:
Introduction The purpose of this study is to assess the effectiveness of diabetes self-management education (DSME) in a rural agricultural town.
Methods:
In this prospective, education-intervention trial, 85 adults with type 2 diabetes mellitus from villages randomly assigned to DSME and 70 from villages assigned to standard care participated. The DSME group underwent a curriculum delivered by peer educators; those in the standard group received usual advice. Outcome measures were anthropometric, biochemical, health behaviors, and medication use data taken at baseline then after three and six months.
Results:
DSME group had a lower median A1C after three and six months. After six months, there was a 0.5% median A1C reduction in DSME group and a 0.25% increase in the standard group. There were more participants in DSME group with A1C ⩽7.0% after three and six months. By the third month, there were more participants in DSME group performing foot examination.
Conclusion:
DSME in this rural agricultural town improved glycemic control and promoted foot examination.
Related Concept Videos
01:15Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
01:30Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
01:22Diabetes Mellitus: Type 2 and Gestational