Metabolic impact of education in NIDDM

Gail A. D'Eramo-Melkus, Judith Wylie-Rosett, Julie A. Hagan

Research output: Contribution to journalArticle

80 Citations (Scopus)

Abstract

OBJECTIVE - To evaluate the impact of a model program of diabetes education and weight reduction on diabetes control and weight loss in obese individuals with non-insulin-dependent diabetes mellitus (NIDDM). RESEARCH DESIGN AND METHODS - Eighty-two obese diabetic subjects were randomized to three levels of educational intensity: 1) a single individual session, 2) a 12-wk behavior-oriented diabetes education and weight control group intervention, or 3) group intervention plus six individual follow-up sessions. Repeated measures of weight, fasting blood glucose, and HbA1c were collected. Measures of diabetes knowledge, skills, and attitudes were also obtained. RESULTS - By 6 mo, all three intervention groups had a significant weight loss (P < 0.01). The mean weight loss of ∼ 10 lb was independent of treatment group and was maintained over the duration of the study. However, significant improvement in metabolic control was associated with participation in the diabetes education-weight reduction intervention. CONCLUSIONS - The findings of this study indicate that a cognitive behavioral group intervention of diabetes knowledge and weight reduction training can produce weight loss and improvements in diabetes control. The addition of individual counseling as a follow-up maintenance strategy does not appear to have any advantage.

Original languageEnglish (US)
Pages (from-to)864-869
Number of pages6
JournalDiabetes Care
Volume15
Issue number7
StatePublished - Jul 1992
Externally publishedYes

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Type 2 Diabetes Mellitus
Weight Loss
Education
Weights and Measures
Blood Glucose
Counseling
Fasting
Research Design
Maintenance
Control Groups

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

D'Eramo-Melkus, G. A., Wylie-Rosett, J., & Hagan, J. A. (1992). Metabolic impact of education in NIDDM. Diabetes Care, 15(7), 864-869.

Metabolic impact of education in NIDDM. / D'Eramo-Melkus, Gail A.; Wylie-Rosett, Judith; Hagan, Julie A.

In: Diabetes Care, Vol. 15, No. 7, 07.1992, p. 864-869.

Research output: Contribution to journalArticle

D'Eramo-Melkus, GA, Wylie-Rosett, J & Hagan, JA 1992, 'Metabolic impact of education in NIDDM', Diabetes Care, vol. 15, no. 7, pp. 864-869.
D'Eramo-Melkus GA, Wylie-Rosett J, Hagan JA. Metabolic impact of education in NIDDM. Diabetes Care. 1992 Jul;15(7):864-869.
D'Eramo-Melkus, Gail A. ; Wylie-Rosett, Judith ; Hagan, Julie A. / Metabolic impact of education in NIDDM. In: Diabetes Care. 1992 ; Vol. 15, No. 7. pp. 864-869.
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