Abstract
56 adults with type 2 diabetes received feedback on their actual risk for five diabetes complications, with half receiving additional goal setting support. Outcome measures were collected at baseline and 9 months. HbA1c and diabetes-related distress both improved, with reductions in distress associated with improvements in glycaemic control (r=0.33, p=0.014).
Highlights
Despite increasing awareness of diabetes-related complications and availability of effective treatments, a substantial number of people with diabetes have biomedical parameters outside the recommended target range [1,2]
The main issue is whether the significant improvements in HbA1c, cholesterol and diabetes-related distress seen in both groups can be attributed to the provision of the personalised risk information or to common Hawthorne effects
Our feasibility study design does not allow us to answer this question but it does point to the need to conduct a fully powered randomised controlled trial to determine if feedback of actual personalised risk information alone engages people to be more pro-active in managing their diabetes
Summary
Despite increasing awareness of diabetes-related complications and availability of effective treatments, a substantial number of people with diabetes have biomedical parameters (hyperlipidaemia, hypertension, and hyperglycaemia) outside the recommended target range [1,2]. One explanation for this may be sub-optimal diabetes self-management [3,4]. Of adults with an HbA1c >64 mmol/mol (>8.0%), 56% and 48% overestimated their risk of myocardial infarction and stroke by more than 20% [8] This can lead to a sense of fatalism, resignation and distress. Our hypothesis was that providing people with accurate information about their risk of developing diabetes-related complications, along with counselling on how they can meaningfully reduce these risks, will encourage people to self-manage their diabetes more effectively and reduce their risks
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