Abstract
This study investigated the effect of applying a customized diabetes education program through pattern management (PM), using continuous glucose monitoring system (CGMS) results, on individual self-care behaviors and self-efficacy in patients with type 2 diabetes mellitus. Patients with type 2 diabetes who had never received diabetes education, enrolled from March to September 2017, were sequentially assigned to either PM education or control groups. In the PM education group, the CGMS test was first conducted one week before diabetes education and repeated three times by PM in order to obtain data on self-care behaviors and self-efficacy. These results were then compared before and after education at three and six months. The control group received the traditional diabetes education. Self-efficacy showed statistically significant interactions between the two groups over time, indicating a significant difference in the degree of self-efficacy between the PM education and control groups. Diabetes education by PM using CGMS result analysis improved life habits with a positive influence on self-care behaviors and self-efficacy for diabetes management. Further studies are needed to further develop and apply individual diabetes education programs in order to sustain the effects of self-care behaviors and self-efficacy in patients with diabetes who experience a decrease in self-efficacy after three months of education.
Highlights
Diabetes, one of the four major non-communicable diseases, is defined by the World HealthOrganization (WHO) as a public health concern with increasing incidence and increasing numbers of patients in the past few decades
The present study aimed to investigate the effects of customized diabetes education through pattern management (PM), conducted with continuous glucose monitoring system (CGMS) results on individual self-care behaviors and self-efficacy in patients with type 2 diabetes mellitus
With changes in self-care behaviors after PM-based diabetes education utilizing CGMS results, the PM group demonstrated improvements compared to the control group—in other words, positive changes in self-care behaviors were observed in the PM group
Summary
One of the four major non-communicable diseases, is defined by the World Health. Organization (WHO) as a public health concern with increasing incidence and increasing numbers of patients in the past few decades. Regarding deaths due to diabetes among Koreans, the rate decreased by 4.5% between 2006 and 2016—diabetes still ranks the fifth among the 10 major causes of death among Koreans, excluding intentional self-harm [2]. The development of type 2 diabetes is mostly accounted for by inappropriate life habits, including hypertension, obesity, and hypercholesterolemia, most patients with diabetes do not undertake self-care behaviors, such as dietary changes, exercise, self-monitoring of blood glucose (SMBG), and foot care. Many patients fail to recognize the importance of continued management and the fact that active, continued self-care behaviors can aid in the prevention of diabetic. Public Health 2019, 16, 3323; doi:10.3390/ijerph16183323 www.mdpi.com/journal/ijerph
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
