Effectiveness of a Structured 2-Year Diabetes Health Education Program of Patients with Type 2 Diabetes Mellitus in Disease-Related Serum Markers

Yu-Shan Hsieh,1,2 Chin-Lan Lo,3 Yan-Yu Lin3,4 1School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan; 2Department of Research, Taipei Medical University Hospital, Taipei City, Taiwan; 3Division of Endocrinology and Metabolism, Department of Internal Medici...

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Main Authors: Hsieh YS, Lo CL, Lin YY
Format: Article
Language:English
Published: Dove Medical Press 2025-06-01
Series:Diabetes, Metabolic Syndrome and Obesity
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Online Access:https://www.dovepress.com/effectiveness-of-a-structured-2-year-diabetes-health-education-program-peer-reviewed-fulltext-article-DMSO
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Summary:Yu-Shan Hsieh,1,2 Chin-Lan Lo,3 Yan-Yu Lin3,4 1School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan; 2Department of Research, Taipei Medical University Hospital, Taipei City, Taiwan; 3Division of Endocrinology and Metabolism, Department of Internal Medicine, Taipei Medical University Hospital, Taipei City, Taiwan; 4Caringlink Clinic, Taipei City, TaiwanCorrespondence: Yu-Shan Hsieh, School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan, Email 228455300teresa@gmail.comIntroduction: Previous studies on the impact of diabetes education on disease management have shown that different educational approaches yield varying degrees of effectiveness across different populations. Adopting face-to-face education with long-term follow-up not only allows for monitoring changes in numerical values but also facilitates the observation of patients’ learning status.Methods: This study investigates the impact of a two-year structured Diabetes Health Education (DHE) program on disease-related serum markers in patients with type 2 diabetes mellitus (T2DM). A five-year observational cohort study with retrospective analysis was conducted, involving 1,080 participants who completed the DHE program and 192 non-participants.Results: The DHE program included regular educational sessions every three months, covering topics such as blood glucose management, lipid profiles, and healthy lifestyle practices. Results demonstrated significant improvements among DHE participants: HbA1c levels decreased by 37%, fasting glucose by 4%, total cholesterol by 7%, LDL cholesterol by 13%, and triglycerides by 20%, with HDL cholesterol increasing by 3%. Body weight and diastolic blood pressure (DBP) also showed reductions of 4% and 3%, respectively, while systolic blood pressure (SBP) exhibited no significant changes. The improvements in lipid profiles were evident within six months, whereas glycemic markers required at least 1.5 years to achieve significance.Conclusion: These results suggest that a structured DHE program significantly improves glycemic control, lipid profile, and other metabolic-related markers in patients with T2DM. Notably, HbA1c and fasting glucose levels significantly improved after 1.5 years of consistent DHE participation, highlighting the importance of long-term engagement for glycemic benefits.Keywords: diabetes health education program, type 2 diabetes mellitus, structured 2-years diabetes program
ISSN:1178-7007