Abstract
EVIDENCE-BASED ANSWER Group-based and individual-based diabetes education reduces glycosylated hemoglobin (HbA1C) slightly more than routine provider visits, with greater effect seen in patients with higher baseline HbA1C (SOR: C, meta-analyses of RCTs and single cohort study with disease-oriented evidence). The differences in HbA1C between individual and group education at 6 months are inconsistent, but no difference is apparent after 12 months (SOR: C, inconsistent meta-analysis of RCTs and single RCT with disease-oriented outcomes). Less time-intensive individual sessions monthly are slightly better than more time-intensive group sessions weekly at reducing HbA1C and diabetes-related distress (SOR: B, RCT).
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