Abstract
BackgroundType 2 Diabetes mellitus (T2DM) has been a global pandemic resulting in physical, financial and psychosocial crises. Thus, it is important to investigate pooled effectiveness of Diabetes Self-Management Education (DSME) on glycemic control among T2DM patients.ObjectiveThe aim of this systematic review and meta-analysis is to investigate the association between DSME or Support (DSME/S) and glycemic control among T2DM patients.MethodsThe systematic review and meta-analysis will include studies conducted throughout the world from 2010 to 2019. T2DM patients and their clinical, anthropometric, biomarkers from baseline to end line will be recorded. We will search all relevant articles from five databases namely; Cochrane Library, BioMed Central, MEDLINE (EBSCOhost), MEDLINE/PubMed and SCOPUS. Key terms will be used for questing relevant articles. Further efforts will be made to check quality of studies base on quality assessment instruments. Finally, the report will be made according Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guidelines. Pooled standard mean difference in HbA1c will be used to calculate the effect size between the variables with random effects analysis assumption. Further subgroup analysis will be carried out for assessing the risk difference among groups.ConclusionBased on the existing and eligible researches this systematic review and meta-analysis will bring the best evidence on the effectiveness of DSME/S on glycemic control among the T2DM patients. Moreover, the subgroup analysis will inform the effectiveness heterogeneity based on continent, International Diabetes Federation (IDF) region, intervention period, World bank economic classification and glycemic markers used to follow the patients. The proposed review has been registered in the International PROSPERO website with registration number CRD42020124236.
Highlights
Electronic supplementary material The online version of this article contains supplementary material, which is available to authorized users.Nowadays diabetes mellitus (DM) affecting nearly half a billion (463 million) people worldwide
The criteria for inclusion will be primary studies reported glycemic control based on glycated hemoglobin (HbA1c) among Type 2 Diabetes mellitus (T2DM) patients using
Personal health coaching was effective in reducing HbA1c level among T2DM patients
Summary
The proposed systematic review and meta-analysis has been registered in the International PROSPERO website with registration number CRD42020124236 [25]. This systematic review and meta-analysis will consider studies those targeted DSME as an intervention for glycemic control. This systematic review and meta-analysis will focus on studies ascertained blood glucose level. This will be defined glycemic control algorithm that patients with a HbA1C
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