Outcome Analysis of Hemoglobin A1c, Weight, and Blood Pressure in a VA Diabetes Education Program

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Abstract

Objective:

To determine the effect of a specific diabetes education class (Basics) on hemoglobin A1c values, weight, and systolic blood pressure.

Design:

In this retrospective study, the researchers compared 2 groups of male veterans with a recent diagnosis of type 2 diabetes. One group received diabetes group education (n = 175) over a 4-month period, and the other received standard diabetes management follow-up (n = 184).

Setting:

Outpatient clinic setting in the Midwest.

Interventions:

Basics class compared with standard level of care.

Main Outcome Measures:

Pre- and post-laboratory values for hemoglobin A1c, weight, and systolic blood pressure.

Analysis:

Multivariate analysis of covariance and follow-up univariate statistics for significant differences.

Results:

Findings revealed significant differences in hemoglobin A1c (P < .001) and weight (P < .001) in the treatment group compared with the control group. No significant difference was found in systolic blood pressure readings between the 2 groups. There was a significant difference in weight change between groups, with the treatment group demonstrating greater weight loss.

Conclusions and Implication:

There was an association between participation in the Basics diabetes education curriculum and reduction of hemoglobin A1c values. Some participants also had added benefit of significant weight loss.

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