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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Dove Medical Press
2025-06-01
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| Series: | Diabetes, Metabolic Syndrome and Obesity |
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| author | Hsieh YS Lo CL Lin YY |
| author_facet | Hsieh YS Lo CL Lin YY |
| author_sort | Hsieh YS |
| collection | DOAJ |
| description | 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 |
| format | Article |
| id | doaj-art-7d54763736d9415c835608ea7a8690d1 |
| institution | DOAJ |
| issn | 1178-7007 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Diabetes, Metabolic Syndrome and Obesity |
| spelling | doaj-art-7d54763736d9415c835608ea7a8690d12025-08-20T03:23:59ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072025-06-01Volume 18Issue 118491858103558Effectiveness of a Structured 2-Year Diabetes Health Education Program of Patients with Type 2 Diabetes Mellitus in Disease-Related Serum MarkersHsieh YS0Lo CL1Lin YY2School of NursingDivision of Endocrinology and Metabolism, Department of Internal MedicineDivision of Endocrinology and Metabolism, Department of Internal MedicineYu-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 programhttps://www.dovepress.com/effectiveness-of-a-structured-2-year-diabetes-health-education-program-peer-reviewed-fulltext-article-DMSODiabetes health education programtype 2 diabetes mellitusstructured 2-years Diabetes program |
| spellingShingle | Hsieh YS Lo CL Lin YY Effectiveness of a Structured 2-Year Diabetes Health Education Program of Patients with Type 2 Diabetes Mellitus in Disease-Related Serum Markers Diabetes, Metabolic Syndrome and Obesity Diabetes health education program type 2 diabetes mellitus structured 2-years Diabetes program |
| title | Effectiveness of a Structured 2-Year Diabetes Health Education Program of Patients with Type 2 Diabetes Mellitus in Disease-Related Serum Markers |
| title_full | Effectiveness of a Structured 2-Year Diabetes Health Education Program of Patients with Type 2 Diabetes Mellitus in Disease-Related Serum Markers |
| title_fullStr | Effectiveness of a Structured 2-Year Diabetes Health Education Program of Patients with Type 2 Diabetes Mellitus in Disease-Related Serum Markers |
| title_full_unstemmed | Effectiveness of a Structured 2-Year Diabetes Health Education Program of Patients with Type 2 Diabetes Mellitus in Disease-Related Serum Markers |
| title_short | Effectiveness of a Structured 2-Year Diabetes Health Education Program of Patients with Type 2 Diabetes Mellitus in Disease-Related Serum Markers |
| title_sort | effectiveness of a structured 2 year diabetes health education program of patients with type 2 diabetes mellitus in disease related serum markers |
| topic | Diabetes health education program type 2 diabetes mellitus structured 2-years Diabetes program |
| url | https://www.dovepress.com/effectiveness-of-a-structured-2-year-diabetes-health-education-program-peer-reviewed-fulltext-article-DMSO |
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