Abstract
Using Health Coaching to Improve Glycemic Control in African-American Diabetics: An Integrative Review
Highlights
Diabetes is a complex, chronic and progressive illness requiring continuous medical care with multifactorial risk-reduction strategies beyond glycemic control [1]
Diabetes is characterized as a group of metabolic diseases marked by high levels of blood glucose resulting from problems in insulin production, insulin use, or both (Winjun, 2017). [2] estimate there are more than 500 million prevalent cases of Type 2 Diabetes worldwide in 2018, compared to 422 million in 2014 and 108 million in 1980 (World Health Organizations [WHO], 2018)
Evidence supporting differences include higher prevalence rates found to be as high as 80% of African-American adults more likely than White adults being diagnosed with diabetes (CDC, 2018)
Summary
Chronic and progressive illness requiring continuous medical care with multifactorial risk-reduction strategies beyond glycemic control [1]. [8] reported health coaching to be an effective intervention for improving glycemic control among diabetic patients. Evidence supporting differences include higher prevalence rates found to be as high as 80% of African-American adults more likely than White adults being diagnosed with diabetes (CDC, 2018). Optimal glycemic control as associated with reduced diabetic complications and improved health outcomes [11]. Only 52% of blacks managed with medication demonstrated a HbA1C of less than 7.0% compared with 57% of whites [12] This lack of glycemic control results in a disproportional burden of diabetic complications on minority populations [11]. To improve health outcomes and address disparities among, education for self-care management is of importance to optimizing healthcare outcomes in persons with diabetes. Reduce diabetic death rate from 74 per 100,000 deaths in 2007 to 66.6 per 100,000 deaths in 2020
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