Enhancing diabetes self-management through the AADE7 self-care behaviors framework: an observational study

Participants had limited exposure to prior diabetes education but improved their understanding of key components of diabetes management, including glucose monitoring, medication, diet, and exercise. Misconceptions regarding insulin use, lipodystrophy prevention, hypoglycemia correction, and appropriate consumption of snacks and carbohydrates were effectively addressed.

We aimed to implement a comprehensive and accessible diabetes education program for patients and their families based on the AADE7 framework to enhance diabetes self-management and clinical outcomes.

An observational, descriptive, mixed-methods study was conducted using weekly online webinars to deliver AADE7 educational content to participant groups. Data collection involved pre and postintervention assessments of knowledge and participant feedback.

A total of 123 participants (72 with diabetes, 5 with prediabetes, and 46 family members) from various Brazilian regions participated in the study. The majority of family members were female and from low-income backgrounds. Most participants had limited prior diabetes education. The educational sessions improved participants' understanding of diabetes management, including the importance of monitoring blood glucose, administering medication, managing diet, and maintaining physical activity. The program also addressed common misconceptions, including managing insulin types, preventing lipodystrophy, adequately correcting hypoglycemia, and incorporating sweets and other carbohydrate-rich foods into the diet when appropriate.

Diabetes education enhances glycemic management; therefore, it should be an integral part of treatment. The AADE7 framework proved highly effective, offering a holistic perspective on diabetes care.