Diabetes Group Sessions Seen as Ineffective in the Long Term — Physician’s First Watch
Diabetes Group Sessions Seen as Ineffective in the Long Term
Two U.K.-based diabetes-education programs seem less effective than had been hoped, according to reports in BMJ.
One study examined the effectiveness of the DESMOND program — a 6-hour self-management program for patients with newly diagnosed type 2 diabetes. (The American Diabetes Association recommends use of such programs, and DESMOND meets its quality criteria.) Among some 750 patients evaluated at 3 years, levels of glycated hemoglobin — the primary outcome — did not differ between DESMOND participants and controls. Coronary risks were also similar between groups.
Another study examined Talking Diabetes, a program for pediatric diabetes teams that aims to help clinicians talk with their patients about setting behavioral goals leading to better diabetes control. Twenty-six teams participated in the study, half were trained in the Talking Diabetes program. At the 1-year mark, glycated hemoglobin levels did not differ between the patients of the trained teams and the control teams.