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Chang, Lee, and Lim: Glycemic Control and Health Behaviors through Diabetes Mellitus Education in a Clinic
Original Article
The Journal of Korean Diabetes Association

The Journal of Korean Diabetes Association 2006; 30(1): 73-81.

Published online: 31 January 2006

DOI: https://doi.org/10.4093/jkda.2006.30.1.73

Glycemic Control and Health Behaviors through Diabetes Mellitus Education in a Clinic

Kyeong-Soon Chang, Kwan Lee1, Hyun-Sul Lim1

Chang's Clinic, Korea.

1Department of Preventive Medicine, College of Medicine, Dongguk University, Seoul, Korea.

Received 12 March 2005       Accepted 2 January 2006

Copyright © 2006 Korean Diabetes Association

Abstract

Background

This study was carried out to examine the changes in the health behaviors and glycemic control before and after administering a Diabetes Mellitus (DM) education program in a clinic.

Methods

The author conducted a questionnaire and analyzed the blood chemistry with the fasting plasma blood sugar (FBS) and hemoglobin A1c (HbA1c) level of 80 patients in a clinic for 6 months from February to July 2004. The study group was divided into a poorly controlled (PC) group and well-controlled (WC) group according to the FBS or HbA1c level. The author then educated the subjects about general knowledges for DM over a 6-month period. The changes in the results before and after the DM education were measured as the changes in the health behaviors along with the changes in the FBS, and HbA1c levels.

Results

The study subjects contained 20 males and 20 females in each groups, and the major age group was the fifth decade (22 cases, 27.5%). The mean values for the total health behavior scores after the DM education program in the PC and WC group were 16.2 ± 1.9, and 16.2 ± 1.7 respectively, and were significantly higher than that before the education program (11.4 ± 2.1, 15.3 ± 1.9, P < 0.05). The mean FBS levels after the DM education program in the PC and WC groups were 130.2 ± 22.8 mg/dL, and 116.2 ± 16.6 mg/dL respectively, and was significantly lower than that before the education program (186.3 ± 33.5 mg/dL, 135.3 ± 16.3 mg/dL, P < 0.05). The mean HbA1c levels after the DM education program in the PC and WC groups were 7.0 ± 0.8%, and 6.2 ± 0.4% respectively, which were significantly lower than that before the education program (9.2 ± 1.4%, 6.5 ± 0.4%, P < 0.05).

Conclusion

This study suggests that a DM education program in a clinic is effective in improving the health behaviors and laboratory findings in DM patients.

Keywords: Diabetes Mellitus, Education, Health behavior, Blood glucose

Figures and Tables

Fig. 1
The flow chart of study.
jkda-30-73-g001
Fig. 2
The total of health behavior scores between before and after the DM education in poorly and well-controlled groups (*by Wilcoxon signed-rank test, †by Mann-Whitney U test).
jkda-30-73-g002
Fig. 3
The FBS level between before and after the DM education program in poorly and well-controlled groups (*by paired t-test, †by Student t-test).
jkda-30-73-g003
Fig. 4
The HbA1c level between before and after the DM education program in poorly and well-controlled groups (*by paired t-test, †by Student t-test).
jkda-30-73-g004
Table 1
The composition of questionnaire
jkda-30-73-i001
Table 2
General characteristics of study subjects
jkda-30-73-i002

*P < 0.05 by Student's t-test between poorly controlled group and well controlled group

Table 3
The changes of health behavior scores between before and after the DM education program by each items in poorly and well-controlled groups
jkda-30-73-i003

*by Wilcoxon signed-rank test, comparison between before and after DM education

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